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Organization
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Active
Organization
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Active
Other names
Primary Rx
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BUFFINGTON (CREDENTIALING DIRECTOR)
(706) 620-4494
Entity
Organization
Contact information
Practice address
100 MITCHELL RD, FORT OGLETHORPE, GA 30742-3683
(706) 403-4122
(706) 841-0015
Mailing address
100 MITCHELL RD, FORT OGLETHORPE, GA 30742-3683
(706) 403-4122
(706) 841-0015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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