NPI | 1205352473 |
---|---|
Doing Business As | ATHENS PHARMACY |
Other Name | ATHENS PHARMACY |
Entity Type | Organization |
Authorized Contact | KETAN TRIVEDI Member 678-205-7038 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010406) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2017-08-18 |
Last Update Date | 2018-04-18 |