| NPI | 1801881545 |
|---|---|
| Doing Business As | POWELL'S BLOOMFIELD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT BENJAMIN MOODY Pharmacist 478-781-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006040) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: GA PHRE006040) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2022-10-24 |