| NPI | 1669762399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JOHN LASKY Floater Pharmacist 770-740-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPh017803) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |