| NPI | 1740321603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOO BYUNG DOO Owner 770-814-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE009122) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-06-06 |