| NPI | 1578714515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TAYLOR Pharmacist 912-629-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: GA PHRE08809) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2018-08-07 |