NPI | 1144671504 |
---|---|
Doing Business As | EAST GEORGIA COMMUNITY PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL BROWN Vice President, Managed Services 281-749-4764 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010298) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-06-28 |
Last Update Date | 2022-09-06 |