Individual provider · Type 1 NPI
Allan Van Shupe, R.PH.
Pharmacist · Marietta, GA
Practice location
1733 Powder Springs Rd SW
Marietta, GA 30064-4863
Fax (770) 919-8610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 011542 (GA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1023315413
Allan Van Shupe, R.PH.'s National Provider Identifier is 1023315413, issued on Feb 21, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Marietta, GA. The record was last updated on Feb 21, 2011.