Provider Demographics
NPI:1730290339
Name:S & W PHARMACY, INC
Entity Type:Organization
Organization Name:S & W PHARMACY, INC
Other - Org Name:S &W PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:706-259-9787
Mailing Address - Street 1:1710 CLEVELAND HWY
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-8313
Mailing Address - Country:US
Mailing Address - Phone:706-259-9787
Mailing Address - Fax:706-259-9174
Practice Address - Street 1:1710 CLEVELAND HWY
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-8313
Practice Address - Country:US
Practice Address - Phone:706-259-9787
Practice Address - Fax:706-259-9174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH 013139332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000035406BMedicaid
GA300028100BMedicaid