| NPI | 1639486491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENTINE NANJE Pharmacist/Owner 678-949-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA phre009673) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |