Organization
SCOTT AND MARY HARTZOG, LLC
Active
Other names
Seminole Hartzog Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT HARTZOG RPH (OWNER)
(229) 524-2223
Entity
Organization
Contact information
Practice address
111 E 2ND ST, DONALSONVILLE, GA 39845-1601
(229) 524-5364
(229) 524-8798
Mailing address
PO BOX 337, DONALSONVILLE, GA 39845-0337
(229) 524-5364
(229) 524-8798
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009128
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000035681A
—
GA
01
—
1109227
NABP
—
05
—
818850627B
—
GA
Enumeration date
03/05/2007
Last updated
09/24/2022
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