| NPI | 1730123787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L WILKINSON President 478-237-6621 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE004549) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-11-09 |