| NPI | 1053891887 |
|---|---|
| Doing Business As | SOUTHERN HOMETOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRACEY LEAVITT Managing Partner 912-509-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-05-27 |