| NPI | 1902397151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE REIFINGER Pharmacy Director 706-855-4789 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: GA PHH006083) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |