| NPI | 1083010177 |
|---|---|
| Doing Business As | LONG'S DEKALB HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | REBECCA GILLESPIE Chief Operating Officer 803-261-8827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010092) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |