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1205129129
GIOVANNI NIRMALA
STONE MOUNTAIN, GA
NPI
1205129129
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Entity Type
Organization
Authorized Contact
NIKKI BROADNEAUX
Chief Executive Officer
414-418-0530
Organization Subpart ?
No
Primary Taxonomy
333600000X Pharmacy
Enumeration Date
2011-05-25
Last Update Date
2011-05-25
Business Address
GIOVANNI NIRMALA
477 TALLWOOD DR
STONE MOUNTAIN, GA 30083-4461
Phone number: 414-418-0530
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Mailing Address
GIOVANNI NIRMALA
477 TALLWOOD DR
STONE MOUNTAIN, GA 30083-4461
Phone number: 414-418-0530
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