NPI | 1831128552 |
---|---|
Doing Business As | MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | GRADY C TATE Owner/Pharmacist 706-295-5712 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: GA PHRE006126) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006126) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2023-03-07 |