NPI | 1346263498 |
---|---|
Doing Business As | SOUTHERN DRUG CO- DARIEN |
Entity Type | Organization |
Authorized Contact | TRAVIS RAY HARRISON Owner 912-294-1684 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: GA 8398) |
3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA 8398) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-08-24 |