NPI | 1912492091 |
---|---|
Doing Business As | KING'S HOMETOWN PHARMACY |
Entity Type | Organization |
Authorized Contact | JOHN HYER CEO 706-400-5043 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE010631) |
Enumeration Date | 2018-06-29 |
Last Update Date | 2020-03-04 |