| NPI | 1194182709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JORDAN CROW Owner/Pharmacist In Charge 706-778-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE008121) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2026-03-02 |