| NPI | 1336527217 |
|---|---|
| Doing Business As | MED RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LEROY BANKS CEO/PIC 770-316-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE010274) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2018-07-19 |