| NPI | 1073854741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE RICKARD RIGGS Pharmacist In Charge 706-798-5645 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE009903) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-05-01 |