| NPI | 1558667899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES GLOVER Manger 404-579-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-03-14 |