NPI 1770426504

Pmr Retailer LLC

Organisation Supports Brokerage Agency Covington, GA

Practice location

Address: 13 Ray Rd, Covington, GA 30014-5954
Phone: (470) 205-9882

Authorised official

Name: Pamela Mechelle Russell
Title: Owner
Phone: (470) 205-9882

Registered specialties (2)

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1770426504
Entity type: Organization
NPI issued: 14 Apr 2026
Record last updated: 14 Apr 2026

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.