| NPI | 1356451868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD BUTTS Owner 912-632-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE000837) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-05-09 |