| NPI | 1033951090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY WILLIAM KNIGHT Pharmacist In Charge 912-223-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |