| NPI | 1285963280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE VUONG Owner 770-837-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009601) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2025-09-04 |