| NPI | 1487833919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL LOZANO Director 770-495-7942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009404) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2008-02-04 |