Medical Center Prescription Shop
Pharmacy
710 Medical Center Dr, Eastman
Georgia, 31023
478-374-5514 478-374-8617
Medical Center Prescription Shop is a Pharmacy in Eastman, Georgia. It is located at 710 Medical Center Dr, Eastman and it's customer support contact number is 478-374-5514. The authorized person of Medical Center Prescription Shop is Michael Frederick Dwozan, RPH who is Ceo of the pharmacy and his contact number is 478-374-5514. Active license number of Medical Center Prescription Shop is PHRE006118 for Pharmacy in Georgia. Medical Center Prescription Shop accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Medical Center Prescription Shop is a 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 dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Medical Center Prescription Shop type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Medical Center Prescription Shop |
| Type: | Pharmacy |
| Location: | 710 Medical Center Dr, Eastman,
Georgia, 31023 |
| Phone: | 478-374-5514 |
| Fax: | 478-374-8617 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Michael Frederick Dwozan |
| Credentials: | RPH |
| Position: | Ceo |
| Contact Number: | 478-374-5514 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1598721086 |
| NPI Enumeration Date: | 24 Apr, 2006 |
| NPI Last Update On: | 27 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medical Center Prescription Shop are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PHRE006118 | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00031864A | Medicaid | Georgia | |
Medicare Enrollment:
Medical Center Prescription Shop is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7911937065 | O20050817001112 | Medical Center Prescription Shop | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 710 Medical Center Dr,
Eastman, Georgia |
| Zip: | 31023 |
| Phone Number: | 478-374-5514 |
| Fax Number: | 478-374-8617 |
Patients can reach Medical Center Prescription Shop at
710 Medical Center Dr, Eastman, Georgia or can
call on customer care at 478-374-5514.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.