| NPI | 1255645669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIMAL PARAG President 678-756-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 114322) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: GA PHRE009662) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2014-04-03 |