# PONDER PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PONDER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902950355
- **Authorized official:** ERNIE PONDER (OWNER)
- **Authorized official phone:** (706) 657-8100

## Contact information

- **Practice address:** 11997 S MAIN ST, TRENTON, GA 30752-2855
- **Practice address phone:** (706) 657-8100
- **Practice address fax:** (706) 657-7977
- **Mailing address:** PO BOX 849, TRENTON, GA 30752-0849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE007684 | GA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 03/20/2009