| NPI | 1487410247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMEON OSITA NWEGBO CFO 404-422-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-12-10 |