NPI
Canton Northside Pharmacy Inc
Doing business as Canton Northside Pharmacy. Phone (770) 479-2171 · Fax (770) 720-6006 · NPI 1861492761
Read from the NPPES registry on October 24, 2026.
Canton Northside Pharmacy pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-07-21
- Last updated
- 2025-09-19
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Specialties
Licenses
- License GA
- 002901
Location
- Practice location
- 170 Marietta Hwy
- City
- Canton GA
- Postal code
- 30114-2303
- Phone
- (770) 479-2171
- Fax
- (770) 720-6006
Organization contact
- Name
- Darrell Chester
- Title
- Pres
- Phone
- (770) 479-2171
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pharmacy, Community/Retail Pharmacy providers in Canton, GA. 20 with this primary taxonomy in the public file.
Other NPIs in Canton, GA. 1,790 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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