NPI | 1912068081 |
---|---|
Doing Business As | SHAW PHARMACY INC |
Entity Type | Organization |
Authorized Contact | TERRY SHAW Owner Phcst 770-427-5647 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006953) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-12-13 |
Last Update Date | 2009-03-25 |