| NPI | 1548617137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT RAVAL President 770-496-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010292) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-07-13 |