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 |