| NPI | 1275908113 |
|---|---|
| Doing Business As | MLK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PARESH PATEL Pharmacist 912-662-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010203) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2016-01-22 |