| NPI | 1144921107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J HONG Owner Pharmacist 678-835-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-08-14 |