| NPI | 1073582920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE FOUCHE' PINNELL Co Owner 229-924-2783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA 003303) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-07-07 |