| NPI | 1376100016 |
|---|---|
| Doing Business As | SUWANEE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KARL SIMON Managing Member 678-878-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2020-09-17 |