| NPI | 1750418265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L HENDERSON Owner Pharmacist 706-378-7945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE008455) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |