| NPI | 1639203110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALAURA D. HALLMAN Director Of Pharmacy 404-616-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |