| NPI | 1295918415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN J COULTER Chief Operating Officer 706-776-9127 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: PHRE008565) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: GA PHRE008565) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |