| NPI | 1457304479 |
|---|---|
| Doing Business As | PHARMALIFE ATLANTA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOGACHEK COO 404-592-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE008447) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-01-26 |