| NPI | 1639910268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA NICOLE CLARK Director Of Pharmacy 912-433-8581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-20 |