MCINTOSH TRAIL CSB NPI 1932368974

NPI Information

NPI: 1932368974
Provider Name: MCINTOSH TRAIL CSB

Doing Business As: BHC PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1501A KALAMAZOO DR
GRIFFIN, GA
ZIP 30224
Phone: (770) 358-8250
Get Directions

MCINTOSH TRAIL CSB is a clinic pharmacy pharmacy in Griffin, GA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MCINTOSH TRAIL CSB NPI is 1932368974. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhc Pharmacy.

The provider's business location address is:

1501A KALAMAZOO DR
GRIFFIN, GA
ZIP 30224-919
Phone: (770) 358-8250
Fax: (770) 229-3223

The provider's authorized official is Pamela Mccollum .
The authorized official title is Executive Director and has the following contact phone number (770) 358-8251.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	PHRE005229	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1123645	OTHER	GEORGIA	NCPDP
2	000251666A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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