| NPI | 1750532677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LOZANO Billing Manager 770-951-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |