Organization Name: | FIRST PHARMACY INC |
NPI Number: | 1134130776 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONY RAY KINCANNON R.PH. (OWNER AND PIC) |
Mailing Address: | 71 Maple Ridge Dr Merchants Square Cartersville |
State: | GA US |
Postal Code: | 301212229 |
Phone Number: | 7703827227 |
Fax Number: | 7703822527 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 8383 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |