| NPI | 1881133064 |
|---|---|
| Doing Business As | MACON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VIJAY PATEL Pharmacy Manager/President 478-284-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010340) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |