| NPI | 1700296449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY N BRYANT Owner 229-310-1695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010007) |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2014-05-03 |