NPI | 1720654619 |
---|---|
Entity Type | Organization |
Authorized Contact | SMIKAL J PATEL Pharmacy Manager 770-723-9460 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
Enumeration Date | 2021-06-01 |
Last Update Date | 2022-01-13 |