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Organization
PIERCE FAMILY PHARMACY INC
Active
Organization
PIERCE FAMILY PHARMACY INC
Active
Other names
Pierce Family Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ZAVAIN MARDIROSSIAN (PRESIDENT,PIC, AO)
(912) 449-1400
Entity
Organization
Contact information
Practice address
3150 US HIGHWAY 84, BLACKSHEAR, GA 31516-4944
(912) 449-1400
(912) 449-1404
Mailing address
3150 US HIGHWAY 84, BLACKSHEAR, GA 31516-4944
(912) 449-1400
(912) 449-1404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009610
GA
Other
Enumeration date
10/13/2009
Last updated
07/19/2018
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