| NPI | 1134423957 |
|---|---|
| Other Name | MTJR |
| Entity Type | Organization |
| Authorized Contact | MICHAEL O MADU Chief Pharmacist 678-508-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009491) |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2011-01-09 |