Organization · Type 2 NPI

Main Street Pharmacy

Pharmacist · Kennesaw, GA

NPI number 1407295330 Active

Practice location

3070 N Main St NW
Kennesaw, GA 30144-2756

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPHRE009935 (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…

5 other providers at this address

About NPI 1407295330

Main Street Pharmacy's National Provider Identifier is 1407295330, issued on Jun 25, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kennesaw, GA. The record was last updated on Jun 25, 2013.