Organization
BRASSTOWN PROFESSIONAL PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY S GALLOWAY R.PH., COF (OWNER)
(706) 745-2303
Entity
Organization
Contact information
Practice address
23 MURPHY HWY STE B, BLAIRSVILLE, GA 30512-3157
(706) 745-2303
(706) 745-2333
Mailing address
23 B MURPHY HIGHWAY, BLAIRSVILLE, GA 30512
(706) 745-2303
(706) 745-2333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
8635
GA
332BC3200X
Customized Equipment (DME)
D19680
GA
3336C0003X
Community/Retail Pharmacy
Primary
8635
GA
3336C0004X
Compounding Pharmacy
8635
GA
335E00000X
Prosthetic/Orthotic Supplier
C22010
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966996A
—
GA
05
—
00966996B
—
GA
05
—
0116914
—
NC
05
—
7704128
—
NC
Enumeration date
06/23/2006
Last updated
02/03/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up