NPI | 1760511547 |
---|---|
Doing Business As | CHICHESTERS INGLESIDE |
Entity Type | Organization |
Authorized Contact | TIMOTHY WRIGHT Owner 478-746-9608 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE000280) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-03-05 |
Last Update Date | 2010-01-28 |