| NPI | 1487893285 |
|---|---|
| Doing Business As | ALLSTATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TED WILLIS Director 770-978-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phre009590) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2010-01-05 |