| NPI | 1801810155 |
|---|---|
| Doing Business As | CONCORD MEDICAL QUARTERS PHARMACY CORP |
| Entity Type | Organization |
| Authorized Contact | WILLIE D SMITH Owner 678-463-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006381) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-04-11 |