| NPI | 1790375772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VU HOANG Manager 404-941-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2022-05-18 |