| NPI | 1700398849 |
|---|---|
| Doing Business As | JASPER DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | LEE J DUNN President 706-692-6427 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: GA PHRE006155) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |