| NPI | 1003196726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVIN WILLIAM MISCHEL JR Staff Pharmacis 478-987-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA RPH022528) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KY 006812) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |