| NPI | 1174610364 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HEWLETTE COOK Pharmacist 706-278-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE003475) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2009-03-26 |