| NPI | 1598950941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FOSTER President & CEO 770-455-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: GA AF3288328) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |