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Contact Information

MCMAHAN PHARMACY, INC
413 SECOND ST
US HWY 41-S
UNADILLA, GA31091
 Phone: 478-627-3041
 Fax: 478-627-3874
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MCMAHAN PHARMACY, INC

NPI Number 1285765552
LBN Legal business name MCMAHAN PHARMACY, INC
Authorized official WILLIAM MCMAHAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2007
Last updated 04/17/2012 - About 14 years ago
Identifiers
GA License # PHRE005076
GA Medicaid 00031545
GA Other 1115155 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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