| NPI | 1235318189 |
|---|---|
| Doing Business As | MAS PHARMACY AND COMPOUNDING LAB LLC |
| Entity Type | Organization |
| Authorized Contact | VERA MOUMAH President 770-732-9342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009151) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2008-04-08 |