NPI | 1134130776 |
---|---|
Doing Business As | FIRST PHARMACY |
Entity Type | Organization |
Authorized Contact | TONY RAY KINCANNON R.PH. Owner And PIC 770-382-7227 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: GA 8383) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-08-10 |
Last Update Date | 2020-08-22 |