| NPI | 1356825525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LAMB Compliance Officer 770-474-7693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-10-05 |