| NPI | 1073837167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVA E DAUNT-SAMFORD CFO 404-686-4918 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: GA PHRE009637) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2025-09-02 |