| NPI | 1588021430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BENNETT MORGAN Pharmacist / Owner 770-475-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE006345) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: GA PHRE006345) |
| Enumeration Date | 2016-01-23 |
| Last Update Date | 2016-01-23 |