| NPI | 1003912304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA F SMITH Chief Pharmacist 912-653-4596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA 02833) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 00021832B) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-01-23 |