NPI 1083216840

Mindy Anderson, RPH

Practitioner Pharmacist Hazlehurst, GA

Practice location

Address: 92 S Tallahassee St, Hazlehurst, GA 31539-6157
Phone: (912) 385-7729
Fax: (912) 379-0814

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 017668 (GA)

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Registry record

NPI: 1083216840
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2020
Record last updated: 16 Nov 2020

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.