# WILSON'S PHARMACY OF CANTON, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396815262
- **Authorized official:** MR. TIM WILSON R.PH (OWNER)
- **Authorized official phone:** (770) 720-7450

## Contact information

- **Practice address:** 231 RIVERSTONE PKWY, SUITE 107, CANTON, GA 30114-2463
- **Practice address phone:** (770) 720-7450
- **Practice address fax:** (770) 479-4443
- **Mailing address:** 231 RIVERSTONE PKWY, SUITE 107, CANTON, GA 30114-2463
- **Mailing address phone:** (770) 720-7450
- **Mailing address fax:** (770) 479-4443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE007502 | GA | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 03/07/2023