| NPI | 1114961943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH M COVINGTON Owner/Pharmacist 912-427-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phre006153) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |