| NPI | 1689715930 |
|---|---|
| Doing Business As | THE MEDICINE SHOPPE PHARMACY #1774 |
| Entity Type | Organization |
| Authorized Contact | GRISELDA WILSON Pharmacist,Owner 706-772-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH018959) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |