NPI | 1114303500 |
---|---|
Doing Business As | ONE SOURCE PHARMACY OF GEORGIA |
Entity Type | Organization |
Authorized Contact | DAVID MURPHY President 912-283-6471 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: GA PHRE010159) |
Enumeration Date | 2015-08-07 |
Last Update Date | 2015-08-31 |