Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAIN STREET PHARMACY
Active OrganizationMAIN STREET PHARMACY is a Pharmacist organization located in KENNESAW, Georgia. NPI 1407295330 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · KENNESAW, GA
Registration Details
- NPI Number
- 1407295330
- Provider Type
- Organization
- NPI Issued
- Jun 25, 2013 (13.121505395306 yrs)
- Last Updated
- Jun 25, 2013
- License
-
PHRE009935 (GA)
Practice Information
- Address
-
3070 N MAIN ST NWKENNESAW, GA, 301442756Browse GA providers · Browse ZIP 30144
- Phone
- 6782696476
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.