| NPI | 1558301069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CAREY MARTIN Owner / PIC 912-449-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009509) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-03-07 |