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TRACY MEDICINE OF ATLANTA GA INC NPI 1962496166


NPI Information

NPI: 1962496166
Provider Name: TRACY MEDICINE OF ATLANTA GA INC

Doing Business As: MEDICINE CENTER OF ATLANTA, INC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3650 CHAMBLEE TUCKER RD
CHAMBLEE, GA
ZIP 30341
Phone: (770) 934-7703
Get Directions

TRACY MEDICINE OF ATLANTA GA INC is a pharmacy in Chamblee, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. TRACY MEDICINE OF ATLANTA GA INC NPI is 1962496166. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Center Of Atlanta, Inc.

The provider's business location address is:

3650 CHAMBLEE TUCKER RD
CHAMBLEE, GA
ZIP 30341-420
Phone: (770) 934-7703
Fax: (770) 414-1463

The provider's authorized official is Shannan Lynn Tracy .
The authorized official title is President/owner and has the following contact phone number (770) 934-7703.

The enumeration date for this NPI number is 9/2/2005 and was last updated on 7/29/2021.


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
1332B00000XDurable Medical Equipment & Medical Supplies4501GEORGIANo
2333600000XPharmacy15042GEORGIAYes

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
11107588OTHERGEORGIANABP NUMBER

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

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