| NPI | 1376160747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLA REFFELL Pharmacist 770-435-0404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |