| NPI | 1700304623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARESH PATEL President 912-200-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE010373) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010373) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |