Organization
PARKWAY PHARMACY, LLC
Active
Other names
PARKWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GASS RPH (PRESIDENT)
(706) 855-8475
Entity
Organization
Contact information
Practice address
4700 BATTLEFIELD PKWY, SUITE 110, RINGGOLD, GA 30736-5170
(706) 866-8475
(706) 866-8477
Mailing address
4700 BATTLEFIELD PKWY, SUITE 110, RINGGOLD, GA 30736-5170
(706) 866-8475
(706) 866-8477
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224562758A
—
GA
Enumeration date
01/13/2012
Last updated
02/13/2012
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