| NPI | 1871780270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAL MARL HALBROOK Vice President 229-436-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PENDING) |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2008-06-20 |