| NPI | 1215047501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE C OKEKE President 706-596-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phre007441) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-02-27 |