MEDICARE: TEMPLE 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	3336C0003X	Community/Retail Pharmacy

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	:	1942226196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE PHARMACY, INC.

Provider Business Mailing Address
First Line	:	285 SAGE ST
Second Line	:
City	:	TEMPLE
State	:	GA
Zip	:	30179-3846
Country	:	US
Telephone Number	:	770-562-3268
Fax Number	:	770-562-1414

Provider Business Practice Location Address
First Line	:	285 SAGE ST
Second Line	:
City	:	TEMPLE
State	:	GA
Zip	:	30179-3846
Country	:	US
Telephone Number	:	770-562-3268
Fax Number	:	770-562-1414

Authorized Official
Title or Position	:	CEO
Name	:	KIMBERLY DAWN COLLIER
Credential	:	RPH
Telephone Number	:	770-324-3248

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/02/2025

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Directions to “TEMPLE PHARMACY, INC. ” Practice Location

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