# BENNETTS HOMETOWN PHARMACY- BLACKSHEAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pierce Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093280539
- **Authorized official:** MS. DENISE BENNETT (OWNER,PHARMACIST)
- **Authorized official phone:** (912) 286-3784

## Contact information

- **Practice address:** 3150 US HIGHWAY 84, BLACKSHEAR, GA 31516-4944
- **Practice address phone:** (912) 449-1400
- **Mailing address:** PO BOX 864, BLACKSHEAR, GA 31516-0864
- **Mailing address phone:** (912) 286-3784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/11/2018
- **Last updated:** 10/11/2018