NPI | 1710022207 |
---|---|
Doing Business As | VILLAGE WALK PHARMACY |
Entity Type | Organization |
Authorized Contact | JASON PAUL CONLEY Pharmacist 912-598-8669 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE008485) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2016-07-19 |