| NPI | 1497262778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEPEDA WILLIS Manager 404-394-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phre010421) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |