Shaw Pharmacy Inc

LBN: Whitlock Pharmacy Inc
Shaw Pharmacy Inc is an health care organization with primary practice located at 3880 Due West Rd Nw Suite E, Marietta GA 30064-1058. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Whitlock Pharmacy Inc can be contacted via phone (770) 427-5647, or through Shaw, Terry via phone (770) 427-5647.

Contact Information

Primary practice address
3880 Due West Rd Nw Suite E Marietta GA 30064-1058
Phone: (770) 427-5647
Fax: (770) 514-7861
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Terry PHARMD
Phone: (770) 427-5647

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE006953 Georgia

Profile Details

NPI number 1912068081
LBN Legal business name Whitlock Pharmacy Inc
DBA Doing business as Shaw Pharmacy Inc
Authorized official Shaw, Terry PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Mar 25th, 2009 - about 17 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 1912068081 NPPES
Georgia MEDICAID 00430097A
Georgia Other 1132935

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