Unknown Individual – Pharmacist, NPI 1205828555
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Threechop Drive, Marietta, Cobb, Georgia, 30064, United States
MARIETTA, GA 300645143
Phone: (770) 422-1824
Type: Mailing
600, West Memorial Drive, Mountain Trace, Dallas, Paulding County, Georgia, 30132, United States
DALLAS, GA 301324117
Phone: (770) 443-4781
Fax: (770) 443-4782
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30064)
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