NPI | 1528049046 |
---|---|
Doing Business As | MEDICAL CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | KENNETH ALAN BETHEA Retail Pharmacist 229-249-4144 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: GA 008065) |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2005-11-10 |
Last Update Date | 2023-03-07 |