| NPI | 1750499125 |
|---|---|
| Doing Business As | HARVEYS SUPERMARKET PHARMACY #63 |
| Entity Type | Organization |
| Authorized Contact | ROY WILSON Director Of Pharmacy 229-686-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21683) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH21683) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2008-08-12 |