NPI 1003096025
Abundant Life Pharmacy & Health Foods INC
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
Pharmacy
Community/Retail Pharmacy
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.