| NPI | 1497109003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRON ONEAL FOSTER Pharmacist 404-216-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 010876) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |