| NPI | 1508413360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH M BAYNES Pharmacist In Charge 706-222-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2021-10-04 |