| NPI | 1063730844 |
|---|---|
| Doing Business As | LONGS DEKALB HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARSHALL FROST Director, Bus Dev/Owner 404-583-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010092) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2015-12-18 |