| NPI | 1851032692 |
|---|---|
| Doing Business As | PRIMARY CARE OF SOUTHWEST GEORGIA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWIN JAMES CFO 229-723-2660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-07-21 |