| NPI | 1720012537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM MARQUESS Pharmacist 678-463-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: GA PHRE010082) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-02-16 |