| NPI | 1740577527 |
|---|---|
| Doing Business As | SUGARLOAF PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEROP GOURDIKIAN Pharmacy Director 770-220-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE009781) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2012-02-08 |