| NPI | 1225798861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JAY CHU Pharmacist 678-979-6035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2022-01-15 |