| NPI | 1669559753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE A STEPHENS Owner 912-966-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: GA PHRE007459) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-01-20 |