| NPI | 1053403964 |
|---|---|
| Doing Business As | LONGS MEDICAL PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARSHALL FROST Director Of Business Dev 404-583-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 15059) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-03-19 |