| NPI | 1770762304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PENNINGTON Office Manager 912-353-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |