| NPI | 1073558359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. WARD President 229-435-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006670) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |