NPI | 1134564461 |
---|---|
Doing Business As | GAYCO HEALTHCARE - NORTH |
Entity Type | Organization |
Authorized Contact | BENT GAY Managing Member 478-272-8093 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: GA PHRE010193) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2013-04-30 |
Last Update Date | 2021-06-23 |