| NPI | 1720329105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM MCNEILLY COO Rdinator Of Pharmacy Operations 770-532-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201004502) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2024-08-12 |