Medicine Shoppe

LBN: Wilson'S Pharmacy Of Canton, Inc
Medicine Shoppe is an health care organization with primary practice located at 231 Riverstone Pkwy Suite 107, Canton GA 30114-2463. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wilson'S Pharmacy Of Canton, Inc can be contacted via phone (770) 720-7450, or through Wilson, Tim via phone (770) 720-7450.

Contact Information

Primary practice address
231 Riverstone Pkwy Suite 107 Canton GA 30114-2463
Phone: (770) 720-7450
Fax: (770) 479-4443
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Tim R.PH
Phone: (770) 720-7450

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE007502 Georgia

Profile Details

NPI number 1396815262
LBN Legal business name Wilson'S Pharmacy Of Canton, Inc
DBA Doing business as Medicine Shoppe
Authorized official Wilson, Tim R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396815262 NPPES
Georgia MEDICAID 00537105A
Georgia Other 1139105

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