| NPI | 1689660243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN HORTON JACKSON Pharmacist 404-459-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE008289) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |