NPI | 1780605006 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD EUGENE ATKINS Owner 770-422-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE004563) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2007-11-07 |