| NPI | 1700927647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D GRIFFIS Owner 912-265-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA 004743) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE004743) |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: GA PHRE004743) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-07-19 |