| NPI | 1720581440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEED THARWANI President 770-846-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: GA PHRE009959) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-04-09 |