Organization
MIKE'S PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L PITZING (OWNER)
(334) 794-3174
Entity
Organization
Contact information
Practice address
11189 COLUMBIA ST, BLAKELY, GA 39823-3475
(229) 724-4461
(229) 724-4480
Mailing address
PO BOX 1826, DOTHAN, AL 36302-1826
(334) 794-3174
(334) 794-7039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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