| NPI | 1104958867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIAN AZIH President 404-241-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006780) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |