| NPI | 1568273423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARMESHKUMAR PATEL Officer In Charge Of Licensing 770-864-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-01-18 |