| NPI | 1083987457 |
|---|---|
| Doing Business As | SOUTHERN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STACEY GIRARDEAU Co Owner 912-839-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009817) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-03-27 |