NPI | 1275083586 |
---|---|
Doing Business As | VILLAGE WALK PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | JASON CONLEY President 912-598-8669 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-10-20 |