NPI | 1548205032 |
---|---|
Doing Business As | LARRYS PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMES HARWORTH BEALE President 912-283-1151 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE 006088) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2015-07-07 |