MEDICARE: S & W PHARMACY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	RPH 013139	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730290339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S & W PHARMACY, INC

Provider Business Mailing Address
First Line	:	1710 CLEVELAND HWY
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30721-8313
Country	:	US
Telephone Number	:	706-259-9787
Fax Number	:	706-259-9174

Provider Business Practice Location Address
First Line	:	1710 CLEVELAND HWY
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30721-8313
Country	:	US
Telephone Number	:	706-259-9787
Fax Number	:	706-259-9174

Authorized Official
Title or Position	:	PIC/OWNER
Name	:	DR. SARAH M ARTHUR
Credential	:	PHARM.D.
Telephone Number	:	706-259-9787

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	11/19/2021

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Directions to “S & W PHARMACY, INC ” Practice Location

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