| NPI | 1063563419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH GUY WONG President 706-733-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phre002890) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2020-08-22 |