NPI | 1619262433 |
---|---|
Doing Business As | VILLA RICA DRUGS |
Entity Type | Organization |
Authorized Contact | COLTON HAROLD BLACKMON Owner 770-456-4663 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010412) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009763) |
Enumeration Date | 2011-06-09 |
Last Update Date | 2018-06-26 |