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Organization

PINELOG INC

Active
Other names
Hobbs Pharmacy and Gifts
Organization subpart
No

Provider details

NPI number
Authorized official
KIM POTTER (PHARMACIST)
(770) 228-2788
Entity
Organization

Contact information

Practice address
220 W COLLEGE ST, SUITE D, GRIFFIN, GA 30224-4121
(770) 228-2788
(770) 228-2789
Mailing address
220 W COLLEGE ST, SUITE D, GRIFFIN, GA 30224-4121
(770) 228-2788
(770) 228-2789

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000938
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000386295A
GA
01
2128412
PK
Enumeration date
03/14/2006
Last updated
05/16/2016
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