| NPI | 1316081045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FRED COX Owner 229-377-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA PHRE006069) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2019-12-09 |