| NPI | 1598068967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN EUGENE GORE Owner/ PIC 706-855-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE008682) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |