| NPI | 1649331265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOOTSON KEITH WINSLETTE Pharmacist Owner 706-290-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-11-06 |