Organization
PITZING PHARMACEUTICALS INC
Active
Other names
Mike's Southside Pharymacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL LYNN PITZING (PRESIDENT/PHARMACIST)
(334) 794-3174
Entity
Organization
Contact information
Practice address
1006 S OATES ST, DOTHAN, AL 36301-3514
(334) 794-3174
(334) 794-7039
Mailing address
1006 S OATES ST, DOTHAN, AL 36301-3514
(334) 794-3174
(334) 794-7039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112316
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003265
—
AL
Enumeration date
10/12/2006
Last updated
10/14/2021
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