NPI | 1578601563 |
---|---|
Doing Business As | CITY DRUG STORE |
Entity Type | Organization |
Authorized Contact | BENJAMIN R BLACK Pharmacist/Owner 912-537-4147 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE003762) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE003762) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2023-03-31 |