| NPI | 1326706615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ADAMS Pharmacist In Charge 770-939-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |