| NPI | 1801935259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PENNINGTON Office Manager 912-681-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: GA PHRE008665) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |