NPI | 1407628043 |
---|---|
Doing Business As | PEACHTREE PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID STEVEN TAYLOR Chief Pharmacy Officer 843-543-0004 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2023-10-26 |
Last Update Date | 2023-10-26 |