| NPI | 1417980426 |
|---|---|
| Doing Business As | THOMAS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | VANCE WALL CEO 678-689-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA 000001) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-04-26 |