| NPI | 1831944909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAUTAM JOSHI Pharmacist In Charge 770-755-5904 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |