CALVIN SO


Address: 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501
Phone: 7704767985

CALVIN SO (NPI# 1639778459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639778459
Entity Type Individual
Full Name CALVIN SO
Practice Address 3455 Peachtree Industrial Blvd
Duluth
GA 30096-6501
Mailing Address Po Box 3043
Suwanee
GA 30024-0077
Practice Telephone 7704767985
Mailing Telephone 6784711351
Enumeration Date 2020-10-22
Last Update Date 2020-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 017138 GA Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3043 Peachtree Industrial Blvd, Duluth, GA 30096 7704767985

Other Providers CALVIN SO

NPI Name Taxonomy Address Enumeration
1700810892 Calvin So Acupuncturist 1429 College Ave Ste N, Modesto, CA 95350-4046 2006-07-11
1629156229 Calvin S. So Allergy & Immunology 2200 Ofarrell St, San Francisco, CA 94115-3357 2006-11-01

Office Location

Street Address 3455 PEACHTREE INDUSTRIAL BLVD
City DULUTH
State GA
Zip Code 30096-6501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982607222 Medical Aid Supply House Inc Prosthetic/Orthotic Supplier 3455 Peachtree Industrial Blvd, Ste 980, Duluth, GA 30096-6506 2005-05-31
1053910018 Lora Sue Henderson Pharmacist 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501 2020-10-21
1447858931 Jimin Sun Pharmacist 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501 2020-10-15
1851921092 Laurel Ip Pharmacist 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501 2020-01-15
1922476308 Pt Solutions of Acworth, LLC Physical Therapist 3455 Peachtree Industrial Blvd, Suite 825, Duluth, GA 30096-6501 2015-09-02
1790152858 Fabius Clements Iv Optometrist 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 2015-08-25
1730304858 Lisa Mary Brodsky Dentist 3455 Peachtree Industrial Blvd, Ste. 805, Duluth, GA 30096-6501 2007-04-16
1619093531 Gwinnett Eye Clinic Optometrist 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 2007-03-22
1184703464 Phillip E Johnson Optometrist 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 2006-11-06
1548285224 The Kroger Co Durable Medical Equipment & Medical Supplies 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501 2006-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922615897 Georgia Eye Optical, LLC Ophthalmology 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 2020-09-25
1568090868 Positive Behavior Services, Inc Behavior Technician 3765 Crestwood Pkwy Nw, Duluth, GA 30096 2020-03-31
1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
1083184626 Aica Orthopedics, P.C. Orthopaedic Surgery 3775 Venture Drive Bldg F, Duluth, GA 30096 2018-11-27
1245709799 Positive Impact Health Centers, Inc. Pharmacy 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 2018-11-14
1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
1710467857 Envision Optics LLC Optometrist 1943 Pleasant Hill Rd, Duluth, GA 30096 2018-08-17
1104314202 Erin Mckernan Scupham Chiropractor 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 2018-04-25
1053839456 Rogers Bridge Pediatric Therapy, LLC Clinic/Center 2845 Summercrest Ln, Duluth, GA 30096 2017-09-06
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801364062 Dongwoo Shin Pharmacist 3607 Gainesway Ct, Duluth, GA 30096-1738 2018-11-06
1174091359 Naeunnansae Lim Pharmacist 2370 Main St Nw Apt 5301, Duluth, GA 30097-2876 2018-11-06
1851818579 Ji A Kim Pharmacist 2550 Pleasant Hill Road, Suite 120, Duluth, GA 30096 2017-08-23
1821442153 Lyhka5 LLC Pharmacist 4470 Satellite Blvd Ste 108, Duluth, GA 30096-8852 2016-04-22
1932517257 Ja Young Kongkim Pharmacist 4195 Pleasant Hill Rd, Suite D, Duluth, GA 30096-6343 2014-07-30
1316362213 Darshini Jani Pharmacist 3463 Palisade Park Ct, Duluth, GA 30096-6698 2014-02-28
1104266345 Rebecca Wright Pharmacist 202 N Central Ave, Duluth, MN 55807-2463 2013-07-02
1538419767 Kyle Robert Rizzi Pharmacist 231 E 14th St, Duluth, MN 55811-3767 2012-09-14
1366701930 Laura Jean Gauger Pharmacist 1321 E 1st St, # 201, Duluth, MN 55805-2453 2012-05-16
1497023410 Jean Barrie Mcbride Pharmacist 1131 East Superior Street, Duluth, MN 55802 2011-12-05
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Competitor

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City DULUTH
Zip Code 30096

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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