NPI | 1174711170 |
---|---|
Doing Business As | FOX PHARMACY |
Entity Type | Organization |
Authorized Contact | DENNIS TRACEY Mang Member 678-373-3918 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009370) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2007-10-04 |
Last Update Date | 2008-03-12 |