Canton Northside Pharmacy Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1528257102

Canton Northside Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Waleska, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in: GA
In the registry since: 2007
Specialties on file: 3

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

6824 Reinhardt College Pkwy
Waleska, GA 30183-3266
Phone: (770) 479-2172
Fax: (770) 479-2249

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary)	Taxonomy 3336C0003X · Licence PHRE009402 (GA)
Durable Medical Equipment & Medical Supplies	Taxonomy 332B00000X
Pharmacy	Taxonomy 333600000X

Record details

NPI number	1528257102
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Darrell Chester — President · (770) 479-2171
Other names	Northside Pharmacy Waleska
NPI enumerated	October 18, 2007
Last updated in NPPES	April 12, 2017
Mailing address	Po Box 1029, Waleska, GA 30183-1029