| NPI | 1669522645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM SANDERS Pharmacy Manager 478-237-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE008634) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-02-05 |