Main Street Pharmacy

NPI #1407295330 in Kennesaw, Georgia

Provider Information

NPI Number
1407295330
Entity Type
Organization
Organization Name
Main Street Pharmacy
Primary Specialty
Pharmacist
Enumeration Date
Jun 25, 2013
Last Updated
Jun 25, 2013

Practice Location

Address
3070 N MAIN ST NW
State
Georgia
ZIP Code
30144-2756
Phone
(678) 269-6476

Authorized Official

Name
TAMI CHAMBLEE OLIVER
Title
PHARMACY MANAGER
Phone
(678) 793-2525

Specialties & Taxonomy Codes

Specialty
Pharmacist

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