| NPI | 1811413701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIJESH BHAGAT CEO 706-850-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010376) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2018-02-03 |