| Sopheap Pin, PHARMD | |
|
100 Myrtle Blvd, Dept Of Pharmacy, Gracewood, GA 30812 | |
| (706) 790-2496 | |
| Not Available |
| Full Name | Sopheap Pin |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 100 Myrtle Blvd, Gracewood, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104330398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RPH026001 (Georgia) | Primary |
| 183500000X | Pharmacist | 50800 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Sopheap Pin, PHARMD 100 Myrtle Blvd, Dept Of Pharmacy, Gracewood, GA 30812 Ph: (706) 790-2496 | Sopheap Pin, PHARMD 100 Myrtle Blvd, Dept Of Pharmacy, Gracewood, GA 30812 Ph: (706) 790-2496 |
Dr. Marla Marie Mitcham, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 Myrtle Blvd., Pharmacy Bldg. 15 Room G12, Gracewood, GA 30812 Phone: 706-790-2496 Fax: 706-790-2340 | |
Mrs. Cynthia Bass Kucela, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 Myrtle Blvd, East Central Regional Hospital Dept Of Pharmacy, Gracewood, GA 30812 Phone: 706-790-2496 Fax: 706-790-2340 | |
Dr. Holli E Pender, PHARMD. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 Myrtle Blvd., Gracewood, GA 30812 Phone: 706-790-2496 |