| NPI | 1053332015 |
|---|---|
| Doing Business As | LEE GOODRUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN GOODRUM CEO 770-253-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006304) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-04-25 |