| NPI | 1548337686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NANCE Pharmacist In Charge 706-562-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE007773) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |