Organization
HARBIN CLINIC LLC
Active
Other names
HARBIN CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PLEDGER PHARMD (DIRECTOR)
(762) 235-2440
Entity
Organization
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 378-8191
(706) 378-8192
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-2440
(706) 378-8192
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009008
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016263
PK
—
05
—
236474238A
—
GA
Enumeration date
08/02/2006
Last updated
02/05/2019
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