| NPI | 1720337488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT MATTHEW POTEET Chief Operational Officer 404-805-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: TN 05046) |
| Enumeration Date | 2012-09-09 |
| Last Update Date | 2012-10-24 |