NPI | 1497963045 |
---|---|
Entity Type | Organization |
Authorized Contact | ORIEN JOSEPH Pharmacy Director 706-569-2803 |
Organization Subpart ? | No |
Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: GA AW5920170) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2023-03-07 |