# BRASSTOWN PROFESSIONAL PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730115619
- **Authorized official:** MS. AMY S GALLOWAY R.PH., COF (OWNER)
- **Authorized official phone:** (706) 745-2303

## Contact information

- **Practice address:** 23 MURPHY HWY STE B, BLAIRSVILLE, GA 30512-3157
- **Practice address phone:** (706) 745-2303
- **Practice address fax:** (706) 745-2333
- **Mailing address:** 23 B MURPHY HIGHWAY, BLAIRSVILLE, GA 30512
- **Mailing address phone:** (706) 745-2303
- **Mailing address fax:** (706) 745-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 8635 | GA | — |
| 332BC3200X | Customized Equipment (DME) | D19680 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | 8635 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | 8635 | GA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | C22010 | GA | — |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 02/03/2014