| NPI | 1376423087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE STRAWN Chief Operating Officer 706-705-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-12-04 |