# SCOTT AND MARY HARTZOG, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seminole Hartzog Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982733267
- **Authorized official:** MR. SCOTT HARTZOG RPH (OWNER)
- **Authorized official phone:** (229) 524-2223

## Contact information

- **Practice address:** 111 E 2ND ST, DONALSONVILLE, GA 39845-1601
- **Practice address phone:** (229) 524-5364
- **Practice address fax:** (229) 524-8798
- **Mailing address:** PO BOX 337, DONALSONVILLE, GA 39845-0337
- **Mailing address phone:** (229) 524-5364
- **Mailing address fax:** (229) 524-8798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009128 | GA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 09/24/2022