Pioneer Health Services Of Early County Llc

NPI 1043301872 - Pharmacy - 3336L0003X

NPI Details
NPI 1043301872
Enumeration Date 09/27/2006
Last Updated 07/02/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WADE WADE
Position DIR OF PHCY
Phone (229) 724-4208
Fax (229) 724-4268
Practice Location
11740 COLUMBIA ST
BLAKELY GA, 39823-2574, US
Phone (229) 724-4208
Fax (229) 724-4268
Business Location
11740 COLUMBIA ST
BLAKELY GA, 39823-2574, US
Phone (229) 724-4208
Fax (229) 724-4268
Toxanomy
Taxonomy Code 3336L0003X
License State Georgia
License Number PHRE09691
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According to our database, Pioneer Health Services Of Early County Llc NPI is 1043301872, taxonomy code is 3336L0003X and license number is PHRE09691, license state is located at Georgia. Pioneer Health Services Of Early County Llc physically located at 11740 Columbia St, Blakely GA, 39823-2574. NPI Number 1033115704 has the healthcare provider type.

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1043301872 NPI number is provided on an as is basis without warranty of any kind. 1043301872 is maintained by the National Plan & Provider Enumeration System. The contents of Pioneer Health Services Of Early County Llc are for informational purposes only.