NPI | 1043875594 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DEREK ROZIER CFO 912-369-9427 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-05-09 |
Last Update Date | 2024-11-21 |