| NPI | 1518018290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CRUMPTON Owner/PIC 706-259-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE007200) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2017-03-13 |