| NPI | 1376702498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY C. COGGINS Manager 770-992-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: GA PHRE009446) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |