NPI | 1679572861 |
---|---|
Doing Business As | NORTHSIDE ALPHARETTA PHARMACY |
Entity Type | Organization |
Authorized Contact | JUDY GARDNER Director 404-851-6793 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE007668) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-07-19 |
Last Update Date | 2016-06-17 |