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 |