| NPI | 1154468551 |
|---|---|
| Doing Business As | CITY DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN R BLACK Owner 912-537-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE003762) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-03-31 |