| NPI | 1285728329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COLQUITT LOGAN President 706-317-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phre008749) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-11-19 |