| NPI | 1285082487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CODY FITZPATRICK Pharmacist 706-363-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |