Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MAIN STREET PHARMACY
Active
Organization
MAIN STREET PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI CHAMBLEE OLIVER (PHARMACY MANAGER)
(678) 793-2525
Entity
Organization
Contact information
Practice address
3070 N MAIN ST NW, KENNESAW, GA 30144-2756
(678) 269-6476
Mailing address
3070 N MAIN ST NW, KENNESAW, GA 30144-2756
(678) 269-6476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRE009935
GA
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up