| NPI | 1932247772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDSON L MULLICAN Owner 706-327-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006809) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-06-19 |