| NPI | 1013764646 |
|---|---|
| Doing Business As | AUGUSTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANJALI PATEL General Counsel 386-292-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |