| NPI | 1689165482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ABRAMS Pharmacy Director 770-504-2010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: GA PHPR003513) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |