| NPI | 1386216133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNEDY L DONKOR Pharmacist 678-223-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2025-06-09 |