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Organization
HARBIN CLINIC LLC
Active
Organization
HARBIN CLINIC LLC
Active
Other names
Harbin Clinic Cancer Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PLEDGER (DIR OF PHCY, AO)
(762) 235-2440
Entity
Organization
Contact information
Practice address
255 W 5TH ST SW, ROME, GA 30165-2817
(706) 528-9096
(706) 528-9098
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-2440
(706) 528-9098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009742
GA
Other
Enumeration date
03/25/2011
Last updated
02/05/2019
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