NPI | 1073598280 |
---|---|
Doing Business As | TUXEDO PHARMACY |
Entity Type | Organization |
Authorized Contact | MARVIN LIEBER President Pharmacist 404-255-3022 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2005-12-09 |
Last Update Date | 2014-10-14 |