Organization
FIRST PHARMACY WEST INC
Active
Other names
FIRST PHARMACY WEST
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA PATEL PHARMD (OWNER)
(770) 606-9901
Entity
Organization
Contact information
Practice address
75 DOUTHIT FERRY RD, CARTERSVILLE, GA 30120-4098
(770) 606-9901
(678) 605-9885
Mailing address
75 DOUTHIT FERRY RD, CARTERSVILLE, GA 30120-4098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009006
GA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154018
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
02/26/2009
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