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NPI Code Detail

MEDICARE: EAST MARIETTA DRUGS, INC.

MEDICARE: EAST MARIETTA DRUGS, 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
1332B00000XDurable Medical Equipment & Medical Supplies00026342BGA
2333600000XPharmacy00026342AGA

Other Identifiers

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

General Provider Information

NPI Number : 1548264039
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST MARIETTA DRUGS, INC.
Provider Business Mailing Address
First Line : 1480 ROSWELL RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-3670
Country : US
Telephone Number : 770-973-7600
Fax Number : 770-973-7600
Provider Business Practice Location Address
First Line : 1480 ROSWELL RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-3670
Country : US
Telephone Number : 770-973-7600
Fax Number : 770-973-3032
Authorized Official
Title or Position : SECRETARY
Name : MRS. PAMELA MARQUESS
Credential : PHARM D
Telephone Number : 770-973-7600
Provider Enumeration Date : 06/13/2005
Last Update Date : 10/29/2007

Similar Medicare Providers

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Practice Location Address:
1480 ROSWELL RD
MARIETTA, GA
30062-3670
Practice Phone: 770-973-7600
Practice Fax: 770-973-3032
1245490614 — MS. MELANIE DIANE DISCO
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MARIETTA, GA
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Practice Fax:
1811143555 — DR. CARLISHA SHANEYE COLBERT PHARM.D
Practice Location Address:
1480 ROSWELL RD
MARIETTA, GA
30062-3670
Practice Phone: 770-973-7600
Practice Fax: 770-973-3032
1134452808 — HANNAH ATHAN
Practice Location Address:
1480 ROSWELL RD
MARIETTA, GA
30062-3670
Practice Phone: 770-973-7600
Practice Fax:
1710320981 — PAMALA SMITH MARQUESS PHARMD
Practice Location Address:
1480 ROSWELL RD
MARIETTA, GA
30062-3670
Practice Phone: 770-973-7600
Practice Fax: 770-973-3032
1972000917 — EAST MARIETTA DRUG COMPANY, INC
Practice Location Address:
1480 ROSWELL RD
MARIETTA, GA
30062-3670
Practice Phone: 770-973-7600
Practice Fax: 770-973-3032

Directions to “EAST MARIETTA DRUGS, INC. ” Practice Location

Language Start Address Practice Location
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