| NPI | 1245670777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GRIFFIN MARQUESS President 770-456-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA Phre009933) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |