| NPI | 1831268606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DEAN MININBERG President 404-350-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE008932) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-03-12 |