| NPI | 1972729770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARX REID GAINES Owner Pharmacist 229-226-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |