| NPI | 1699308114 |
|---|---|
| Doing Business As | AU MEDICAL CENTER MOORE AVENUE CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANGELA R ASHMORE Reimbursement Manager 706-721-4258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |