| NPI | 1023142304 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE #1497 |
| Entity Type | Organization |
| Authorized Contact | GEORGE ELROD Owner/Pharmacist 706-338-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA PHRE008121) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE008121) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-03-07 |