# CARROLLTON PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARROLLTON PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750457925
- **Authorized official:** DENNIS MCCULLOUGH (OWNER)
- **Authorized official phone:** (770) 834-7733

## Contact information

- **Practice address:** 105 CLINIC AVE, CARROLLTON, GA 30117-4413
- **Practice address phone:** (770) 834-7733
- **Practice address fax:** (770) 834-7734
- **Mailing address:** 105 CLINIC AVE, CARROLLTON, GA 30117-4413
- **Mailing address phone:** (770) 834-7733
- **Mailing address fax:** (770) 834-7734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE008910 | GA | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 11/07/2011