| NPI | 1639488315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONIA NKEONYEASOA FREGENE Pharmacist In Charge 770-726-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009696) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2011-11-03 |