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Organization

PRIMARY HEALTH CARE CENTER OF DADE, INC.

Active
Other names
Primary Rx
Organization subpart
No

Provider details

NPI number
Authorized official
AMY BUFFINGTON (CREDENTIALING DIRECTOR)
(706) 620-4494
Entity
Organization

Contact information

Practice address
100 MITCHELL RD, FORT OGLETHORPE, GA 30742-3683
(706) 403-4122
(706) 841-0015
Mailing address
100 MITCHELL RD, FORT OGLETHORPE, GA 30742-3683
(706) 403-4122
(706) 841-0015

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Enumeration date
04/18/2025
Last updated
04/18/2025
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