| NPI | 1508453994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILTON FORDHAM Hr Director 912-721-6706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2025-11-19 |