| NPI | 1063756013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL JEFFERSON Rx Business Partner 678-521-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps49950) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |