# HAMILTON MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HMC Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730338070
- **Authorized official:** GREGORY STINNETT BS PHARMACY (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (706) 272-6000

## Contact information

- **Practice address:** 1200 MEMORIAL DR, DALTON, GA 30720-2529
- **Practice address phone:** (706) 272-6430
- **Practice address fax:** (706) 272-6375
- **Mailing address:** PO BOX 1168, DALTON, GA 30722-1168
- **Mailing address phone:** (706) 272-6430
- **Mailing address fax:** (706) 272-6375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHRE004020 | GA | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 02/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003124896B | — | GA |
| 01 | — | 2116943 | PK | — |