Midcity Pharmacy

LBN: Midcity Pharmacy
Midcity Pharmacy is an health care organization with primary practice located at 196 E Main St , Canton GA 30114-2707. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Midcity Pharmacy can be contacted via phone (770) 479-5533, or through Cagle, William Grady via phone (770) 479-5533.

Contact Information

Primary practice address
196 E Main St Canton GA 30114-2707
Phone: (770) 479-5533
Fax: (770) 479-5534
Website:
Map and Directions
Authorized official contact:
Name: Cagle, William Grady PHARMIST
Phone: (770) 479-5533

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 8181 Georgia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 332B00000X

Profile Details

NPI number 1619044914
LBN Legal business name Midcity Pharmacy
DBA Doing business as
Authorized official Cagle, William Grady PHARMIST
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 19th, 2008 - about 18 years ago

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 1619044914 NPPES
Georgia MEDICAID 00032051B
Georgia Other 87BBBCS
Georgia MEDICAID 00032051A
Georgia Other 1102401

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