NPI | 1952316721 |
---|---|
Doing Business As | CITY DRUG STORE |
Entity Type | Organization |
Authorized Contact | CHARLES ROBERT LOTT Owner Rph 912-265-7630 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA 005563) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2012-01-31 |