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 |