| NPI | 1407295330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI CHAMBLEE OLIVER Pharmacy Manager 678-793-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA Phre009935) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |