NPI | 1295347516 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEFOLAKE TOLULOPE OJEMUYIWA Owner 404-600-5666 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2020-08-18 |
Last Update Date | 2020-08-18 |