| NPI | 1225380249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH AFOLABI Owner 770-265-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28436) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2013-05-08 |