| NPI | 1932690922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE O'HANLON Pharmacy Director 478-445-5586 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: GA PHPR006485) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |