| NPI | 1104836493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD F REYNOLDS President 229-246-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE002852) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-08-05 |