| NPI | 1215078019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSGOOD A. MILLER Owner 770-467-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: GA PHRE008220) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-03-07 |