| NPI | 1356595417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET JOYCE HOGAN Pharmacist In Charge 478-742-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE009560) |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2015-06-25 |