NPI | 1104960202 |
---|---|
Doing Business As | CHEROKEE CUSTOM SCRIPT PHARMACY |
Entity Type | Organization |
Authorized Contact | DALE M COKER Manager Pharmacist In Charge 770-704-6161 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA PHRE008814) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-08-22 |