| NPI | 1306117999 |
|---|---|
| Doing Business As | RIVER EDGE BALDWIN COUNTY |
| Entity Type | Organization |
| Authorized Contact | BRYAN LAYMAN Pharmacy Director 478-451-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009803) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2016-12-22 |