| NPI | 1679643332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GRIFFIN MARQUESS President 770-926-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE007695) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-12-10 |