| NPI | 1548264039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MARQUESS Secretary 770-973-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA 00026342A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 00026342B) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-10-29 |