| NPI | 1902134810 |
|---|---|
| Doing Business As | CENTRAL GEORGIA CANCER CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AARON S DAVIS Pharmacist In Charge 478-314-1667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |