| NPI | 1760763015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS DENNIS Senior Pharmacy Technician 404-395-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phtc001709) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |