| NPI | 1841214103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AREZOO AKHAVAN New Owner/PIC 404-642-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2026-08-21 |