| NPI | 1528319548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SHARPE Member 229-435-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 14209) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2024-07-30 |