| NPI | 1134563406 |
|---|---|
| Doing Business As | LILBURN COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAMINA C KHATRI Owner/Organizer 770-710-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009917) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-05-04 |