| NPI | 1255683843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HANICHEN Director Of Pharmacy 404-728-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: GA PHRE009863) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |