| NPI | 1043549223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL O MADU Pharmacist 678-508-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5302037112) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |