| NPI | 1134712763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH WILLIAM LYNCH Director Outpatient Pharmacy 706-475-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-08-20 |