| NPI | 1942823356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREY STEPHENS Pharmacist In Charge 912-270-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2021-10-20 |