| NPI | 1992791974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX TUCKER President Owner Pharmacist 912-756-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE000346) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2025-03-18 |