NPI | 1639400070 |
---|---|
Doing Business As | MOUNTAINVIEW PHARMACY |
Entity Type | Organization |
Authorized Contact | JANE UKOH Owner 770-272-9612 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009646) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2010-01-25 |
Last Update Date | 2020-01-21 |