Mike's Pharmacy, INC

NPI #1962801159 in Blakely, Georgia

Provider Information

NPI Number: 1962801159
Entity Type: Organization
Organization Name: Mike's Pharmacy, INC
Primary Specialty: Pharmacy
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 11189 COLUMBIA ST
City: Blakely
State: Georgia
ZIP Code: 39823-3475
Phone: (229) 724-4461

Authorized Official

Name: MICHAEL L PITZING
Title: OWNER
Phone: (334) 794-3174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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