| NPI | 1689757916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GRIFFIN MARQUESS President 706-485-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phre009049) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |