| NPI | 1396747580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMALA SMITH MARQUESS Secretary 770-973-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA 1112072) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA 0831400001) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2012-08-17 |