| NPI | 1285837922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED H HUNT Executive Director 678-797-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: GA 9208) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2021-02-24 |