| NPI | 1811024417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GRIFFIN Parmacist 706-278-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA PHRE007178) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE007178) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE007178) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-12-20 |