| NPI | 1255800132 |
|---|---|
| Doing Business As | RETOX HEALING HANDS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAPHAEL OGUNSUSI Owner 678-478-9511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |