| NPI | 1255471173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL W GRICE President 706-210-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE008753) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-03-17 |