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Organization
BEN-DEE CORP
Active
Organization
BEN-DEE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY BENTON PIERCY JR. R.PH (MGR)
(770) 939-4333
Entity
Organization
Contact information
Practice address
2151 IDLEWOOD RD, TUCKER, GA 30084-4816
(770) 939-4333
(770) 491-3061
Mailing address
2151 IDLEWOOD RD, TUCKER, GA 30084-4816
(770) 939-4333
(770) 491-3061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH015404
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006480
GA
Other
Enumeration date
01/19/2007
Last updated
08/02/2007
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