NPI | 1013467190 |
---|---|
Doing Business As | PEACH ORCHARD DRUGS |
Entity Type | Organization |
Authorized Contact | TERESE K FORDHAM Owner 706-798-3253 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: GA RPH09972) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2016-10-12 |