Whalio Doctors

NPI 1003096025

Abundant Life Pharmacy & Health Foods INC

Organisation Community/Retail Pharmacy Baxley, GA

Practice location

Address
117 N Main St, Baxley, GA 31513-0070
Phone
(912) 367-8404
Fax
(912) 367-8405

Authorised official

Name
Lisa Hall
Title
Owner
Phone
(912) 367-8404

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PHRE009480 (GA)
Pharmacy
Suppliers Taxonomy 333600000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1003096025
Entity type
Organization
NPI issued
7 Nov 2007
Record last updated
17 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.