NPI age
20 years
Enumerated 2006-04-24
● Active Type 2 · Organization
Medical Center Prescription Shop
Medical Center Prescription Shop is 1 of 961 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dwozan
Ceo
Last NPPES update
2025-07-27
Source: monthly bulk 2026-05
How this organization compares
Across 961 active pharmacy providers in Georgia.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
710 Medical Center Dr
Eastman, GA 31023
Mailing address
710 Medical Center Dr
Eastman, GA 31023
Authorized official
Michael Frederick Dwozan, RPH
Ceo
📞 4783745514
Individual providers at this organization
2 individual providers on file at this primary practice address.
- James Mullis Pharmacist NPI 1326003591
- Emory Peacock Pharmacist NPI 1942915491
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00031864A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Prescription Shop
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.