| NPI | 1710054705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND E JOY Administrator Director 706-226-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: GA 155012) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |