Organization
PHARMD ON DEMAND INC
Active
Other names
PharmD on Demand, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AZZOLIN (COO)
(706) 389-9501
Entity
Organization
Contact information
Practice address
1971 HOG MOUNTAIN RD, SUITE 204, WATKINSVILLE, GA 30677-1904
(706) 389-9501
(706) 705-6033
Mailing address
630 HAWTHORNE AVE, SUITE 16, ATHENS, GA 30606-2508
(706) 389-9501
(877) 974-2763
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010197
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155426
PK
—
Enumeration date
11/16/2015
Last updated
06/16/2016
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