| NPI | 1619628591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL CARTAGENA Manager 404-891-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-03-07 |