| NPI | 1770041956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSELM ADDO President/CEO 470-297-5749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2022-02-14 |