| NPI | 1730321316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVETTE FLEMING Pharmacy Director 404-452-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA 18553) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: GA 18553) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: SC 008598) | |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2009-03-29 |