Provider Demographics
NPI:1154136794
Name:CHAPMAN HEALTHCARE PHARMACY INC TLC
Entity type:Organization
Organization Name:CHAPMAN HEALTHCARE PHARMACY INC TLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:912-538-0053
Mailing Address - Street 1:305 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-8908
Mailing Address - Country:US
Mailing Address - Phone:912-538-0053
Mailing Address - Fax:912-538-0498
Practice Address - Street 1:305 MAPLE DR
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-8908
Practice Address - Country:US
Practice Address - Phone:912-538-0053
Practice Address - Fax:912-538-0498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy