| To Our Shores Pharmacy | |
|
250 Langley Dr Ste 1101 Lawrenceville GA 30046-6932 | |
| (770) 954-5997 | |
| Not Available |
| Full Name | To Our Shores Pharmacy |
|---|---|
| Speciality | Pharmacy |
| Location | 250 Langley Dr Ste 1101, Lawrenceville, Georgia |
| Authorized Official Name and Position | Miyesha a Cheeks (CEO / DIRECTOR) |
| Authorized Official Contact | 9178535056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| To Our Shores Pharmacy 250 Langley Dr Ste 1101 Lawrenceville GA 30046-6932 | To Our Shores Pharmacy 250 Langley Dr Ste 1101 Lawrenceville GA 30046-6932 Ph: (770) 954-5997 |
| NPI Number | 1497572598 |
|---|---|
| Provider Enumeration Date | 09/21/2024 |
| Last Update Date | 04/30/2025 |
| Certification Date | 04/30/2025 |
| Medicare PECOS PAC ID | 0648657130 |
|---|---|
| Medicare Enrollment ID | O20250328002283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497572598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | () | Primary |
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