| NPI | 1154053999 |
|---|---|
| Doing Business As | LONGANVILLE WEST END PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | AAKASH PATEL CEO 470-220-7232 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |