| NPI | 1861711202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL SLOAN Director Of Accounting 478-783-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA Applied For) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |