| NPI | 1215210935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBLE MAKONNEN Staff Pharmacist 770-978-6276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: GA RPH021457) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |