| NPI | 1295278166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMI PATEL Managing Member 678-315-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010324) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2017-03-27 |