| NPI | 1073660478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS HARRIS Pharmacist 404-297-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: GA PHRE008733) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2025-09-11 |