| NPI | 1205145778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAM LE Pharmacist 678-731-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: GA rph026949) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 64651) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 49846) | |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2014-02-19 |