| NPI | 1831171867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M. BRANNEN Director Of Pharmacy 229-259-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE006396) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-03-07 |