| NPI | 1164199311 |
|---|---|
| Other Name | DEKALB CRISIS CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FABIO BRUNO VAN DER MERWE CEO 404-294-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |