| NPI | 1073143202 |
|---|---|
| Doing Business As | LEE-GOODRUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CASEY TARPLEY CEO 770-253-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-07-28 |