| NPI | 1366532764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE A STEPHENS CFO/Owner 912-966-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: GA PHRE008901) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2022-01-20 |