National Provider Identifier Database

PEACHTREE PHARMACY SERVICES
Pharmacist

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Contact Information

PEACHTREE PHARMACY SERVICES
1018 SOUTH MAIN STR
HWY 129 SUITE A
CLEVELAND, GA30528
Phone: 706-865-0367
Fax: 706-865-0931
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for PEACHTREE PHARMACY SERVICES

NPI Number 1023210044
Legal business name
LBN
PEACHTREE PHARMACY SERVICES
Authorized official JAMES HERNDON - (PHARMACY MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/01/2007
Last updated 11/06/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 014565
  • GA Other: PHRE009156 PHARMACY LIC NUM

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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