NPI | 1295784270 |
---|---|
Doing Business As | THOMAS DRUG STORE |
Entity Type | Organization |
Authorized Contact | VANCE WALL CEO 678-689-2388 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE000780) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2022-03-31 |