| NPI | 1861505430 |
|---|---|
| Doing Business As | CENTRAL STATE HOSPITAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LARRY LATHAM Regional Hospital Administrator 478-445-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: GA PHH006409) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-09-15 |