| NPI | 1831689728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA JONES GAINOUS Pharmacy Director 229-294-6786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: GA PHPR007470) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-23 |