| NPI | 1386626570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M. BRANNEN Director Of Pharmacy 229-259-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHH004025) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-03-07 |