| NPI | 1700099454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLENE JOINER DANIELS Chief Administrative Officer 912-527-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: GA PHRE007336) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-01-27 |