NPI | 1922476829 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY WILLIAMS Pharmacy District Manager 229-237-6473 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: SC 35822) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA 028193) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |