| NPI | 1356160659 |
|---|---|
| Doing Business As | GGC HEALTHCARE DISPENSARY - FAIRWAY WALK IN CARE |
| Entity Type | Organization |
| Authorized Contact | STEVEN SINCLAIR CFO 270-781-5111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |