NPI | 1922750462 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA ALLEY Credentialing Specialist 706-722-0705 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 1835X0200X Pharmacist, Oncology |
Enumeration Date | 2022-01-26 |
Last Update Date | 2024-08-23 |