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General NPI Number Information
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NPI Number | 1275044844
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Entity Type | Organization
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Legal Business Name | POOLES PHARMACY INCORPORATED
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 660 WHITLOCK AVE NW STE G
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City | MARIETTA
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State | GA
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Zip | 30064-3174
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Country | US
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Telephone | 770-514-5115
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Fax | 770-428-1115
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Provider Business Mailing Address
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Address Line | 660 WHITLOCK AVE NW STE G
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City | MARIETTA
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State | GA
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Zip | 30064-3174
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Country | US
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Telephone | 770-514-5115
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Fax | 770-428-1115
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Authorized Official
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Title or Position | CEO
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Name | SHARON MILLS SHERRER
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Credential | PHARM. D.
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Telephone | 770-514-5115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHRE005435
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License Number State | GA
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