| NPI | 1992986756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W SEVERSON Director, Pharmacy 706-774-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE002074) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |