| NPI | 1972094134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY NORTON Pharmacy Director 229-333-7943 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: GA PHPR003519) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |