NPI | 1376558916 |
---|---|
Doing Business As | PEACH ORCHARD DRUGS |
Entity Type | Organization |
Authorized Contact | TERESE FORDHAM Owner, President 706-533-3369 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE009010) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-07-30 |
Last Update Date | 2015-02-16 |