| NPI | 1447111265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUYNH DAO Owner 770-330-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |