Organization
PRESCRIPTION SHOP INC
Active
Other names
THE PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HALL RPH (VICE PRESIDENT)
(706) 629-9139
Entity
Organization
Contact information
Practice address
1042 RED BUD RD NE, CALHOUN, GA 30701-2081
(706) 629-9139
(706) 629-9080
Mailing address
1042 RED BUD RD NE, CALHOUN, GA 30701-2081
(706) 629-9139
(706) 629-9080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009805
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000028916A
—
GA
05
—
000028916B
—
GA
05
—
003131464A
—
GA
01
—
2012084
PK
—
Enumeration date
06/14/2006
Last updated
03/20/2017
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