| NPI | 1285849836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE RUTH BURNS Owner 229-435-4671 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE006693) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-07-14 |