| NPI | 1497549885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARMESH PATEL Licensing Officer 770-884-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |