| NPI | 1578527420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY WELLS President 478-237-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA 006105) |
| Enumeration Date | 2006-04-15 |
| Last Update Date | 2014-07-24 |