Healthcare Provider Details

I. General information

NPI: 1073606604
Provider Name (Legal Business Name): DALTON WORX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 N. THORNTON AVE SUITE A
DALTON GA
30720
US

IV. Provider business mailing address

1506 N. THORNTON AVE SUITE A
DALTON GA
30720
US

V. Phone/Fax

Practice location:
  • Phone: 706-278-6600
  • Fax: 706-226-5315
Mailing address:
  • Phone: 706-278-6600
  • Fax: 706-226-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number6116
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHAD SMITH
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 423-559-3000