NPI | 1558557421 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY KATHRYN DUNAHOO Pharm D / Owner 770-867-3550 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA RPH016800) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-09-24 |
Last Update Date | 2008-11-14 |