Barrow-Statham Pharmacy
Organization Active NPI Pharmacist · Statham, GA
NPI 1770522674 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1770522674
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 011328 (GA)
- Legal business name
- BARROW-STATHAM PHARMACY
- Practice address
- 333 Jefferson St
Statham, GA 30666-1710 - Phone
- (770) 725-1122
- Fax
- (770) 725-1150
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Tony Steve Maddox, R.PH.
- Title
- Owner/Pharmacist
- Phone
- (770) 725-1122
National Provider Directory
Locations
333 Jefferson St
Statham, GA 30666
Phone (678) 726-7416
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 011328 | GA | Yes |
Addresses
Primary practice location
333 Jefferson St
Statham, GA 30666-1710
Mailing address
PO Box 360
Statham, GA 30666-0007
Phone (770) 725-1122
Other names
- Barrow Pharmacy
Other providers in Statham, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.