| NPI | 1881084549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DAVID DEVERELL Staff Pharmacist 706-861-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA 023926) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |