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Contact Information

MCINTYREPHARMACY LLC DBA GLENWOOD PHARMACY
114 E 2ND AVE
GLENWOOD, GA30428
 Phone: 912-523-5094
 Fax: 912-523-5137
 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 MCINTYREPHARMACY LLC DBA GLENWOOD PHARMACY

NPI Number 1720113939
LBN Legal business name MCINTYREPHARMACY LLC DBA GLENWOOD PHARMACY
Authorized official RICKY MCINTYRE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2007
Last updated 06/17/2008 - About 18 years ago
Identifiers
GA License # PHRE008052
GA Medicaid 000815712A
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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