| NPI | 1073338703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEY EDELBERG Clinical Manager 678-997-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-04-14 |