NPI | 1144555996 |
---|---|
Doing Business As | PIERCE FAMILY HEALTH MART PHARMACY |
Entity Type | Organization |
Authorized Contact | ZAVAIN MARDIROSSIAN President,PIC, AO 912-449-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE009610) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2009-10-13 |
Last Update Date | 2018-07-19 |