| Peter Mauretta, RPH | |
|
200 North Higway 29, Hogansville, GA 30230 | |
| (706) 637-0881 | |
| (706) 637-8709 |
| Full Name | Peter Mauretta |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 200 North Higway 29, Hogansville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063825115 | NPI | - | NPPES |
| 051535325 | Other | GA | DRIVER'S LICNESE |
| RPH023195 | Other | GA | PHARMACIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RPH023195 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Mauretta, RPH 200 North Higway 29, Hogansville, GA 30230 Ph: (706) 637-0881 | Peter Mauretta, RPH 200 North Higway 29, Hogansville, GA 30230 Ph: (706) 637-0881 |
Brenton Knowlton, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 Highway 100, Hogansville, GA 30230 Phone: 706-637-6461 | |
Mr. Randall Y Ogle, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 South Hwy # I-29, Hogansville, GA 30230 Phone: 706-637-6461 Fax: 706-637-6514 | |
Phuong Vu, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 100 South Hwy # I-29, Hogansville, GA 30230 Phone: 706-637-6461 |