| NPI | 1629076526 |
|---|---|
| Doing Business As | INSTITUTIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRIS CARBAUGH Operations Manager 912-285-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2012-09-05 |