| NPI | 1780448001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOWRA HAMID CEO 770-759-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-09-09 |