NPI 1235108192

Pinelog INC

Organisation Community/Retail Pharmacy Griffin, GA

Practice location

Address: 220 W College St Suite D, Griffin, GA 30224-4121
Phone: (770) 228-2788
Fax: (770) 228-2789

Authorised official

Name: Kim Potter
Title: Pharmacist
Phone: (770) 228-2788

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PHRE000938 (GA)

Other Pharmacy providers in Georgia →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1235108192
Entity type: Organization
NPI issued: 14 Mar 2006
Record last updated: 16 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.