| NPI | 1962596320 |
|---|---|
| Doing Business As | JORDAN CITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN COLQUITT LOGAN Vice Pres 706-322-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phre006124) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |