| NPI | 1558733444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA JOHN Pharmacy Manager 770-962-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009934) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: GA PHRE009934) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |