| NPI | 1770697724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA COOK District Pharmacist 229-638-6424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: GA PHRE 005638) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE 005638) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2017-10-02 |