| NPI | 1699873620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ADAMSON Pharmacy Director 706-324-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE004294) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |