| NPI | 1386705416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SARRANTONIO Owner 770-781-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE008970) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |