| NPI | 1487653283 |
|---|---|
| Doing Business As | NORTHSIDE FORSYTH HOME CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAE LYNN BENTON Director Of Pharmacy 770-844-3291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE007472) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |