| NPI | 1275185506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KIGER Pharmacist In Charge 770-726-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |