Provider Demographics
NPI:1942202056
Name:PYRZ, DREW ANTHONY (RPH)
Entity Type:Individual
Prefix:MR
First Name:DREW
Middle Name:ANTHONY
Last Name:PYRZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 WEST RD
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GA
Mailing Address - Zip Code:39827-5236
Mailing Address - Country:US
Mailing Address - Phone:229-378-8011
Mailing Address - Fax:229-377-3994
Practice Address - Street 1:300 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:GA
Practice Address - Zip Code:39828-2726
Practice Address - Country:US
Practice Address - Phone:229-377-9017
Practice Address - Fax:229-377-3994
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA017650183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy