| NPI | 1245692862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURNANK GANDHI Director Of Pharmacy 706-922-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE010271) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-05-09 |