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Organization
PHARMD ON DEMAND INC
Active
Organization
PHARMD ON DEMAND INC
Active
Other names
PharmD on Demand, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AZZOLIN (COO)
(706) 389-9501
Entity
Organization
Contact information
Practice address
1971 HOG MOUNTAIN RD, SUITE 204, WATKINSVILLE, GA 30677-1904
(706) 389-9501
(706) 705-6033
Mailing address
630 HAWTHORNE AVE, SUITE 16, ATHENS, GA 30606-2508
(706) 389-9501
(877) 974-2763
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010197
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155426
PK
—
Enumeration date
11/16/2015
Last updated
06/16/2016
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