| NPI | 1417931973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY GARDNER Director 404-851-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE008997) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2016-09-14 |