| NPI | 1770041956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR ANSELM KWAKU ADDO President/Owner 678-622-1032 |
| 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 | 2025-01-22 |