Abundant Life Pharmacy & Health Foods Inc

NPI 1003096025 - Pharmacy - 333600000X

NPI Details
NPI 1003096025
Enumeration Date 11/07/2007
Last Updated 07/15/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA LISA
Position OWNER
Phone (912) 367-8404
Fax (912) 367-8405
Practice Location
395 W PARKER ST
STE 1
BAXLEY GA, 31513-0659, US
Phone (912) 367-8404
Fax (912) 367-8405
Business Location
395 W PARKER ST
STE 1
BAXLEY GA, 31513-0659, US
Phone (912) 367-8404
Fax (912) 367-8405
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Abundant Life Pharmacy & Health Foods Inc NPI is 1003096025, taxonomy code is 333600000X Abundant Life Pharmacy & Health Foods Inc physically located at 395 W Parker St, Baxley GA, 31513-0659. NPI Number 1033115704 has the healthcare provider type.

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1003096025 NPI number is provided on an as is basis without warranty of any kind. 1003096025 is maintained by the National Plan & Provider Enumeration System. The contents of Abundant Life Pharmacy & Health Foods Inc are for informational purposes only.