| NPI | 1609197664 |
|---|---|
| Doing Business As | MONFORT DRUG AND COMPOUNDING COMPANY, INC |
| Entity Type | Organization |
| Authorized Contact | ASHLEE SMITH Owner 770-963-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE005529) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-09-17 |