NPI | 1336893080 |
---|---|
Doing Business As | LEE-GOODRUM PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | CASEY TARPLEY Owner 770-253-1121 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2022-02-10 |
Last Update Date | 2022-02-11 |