| NPI | 1841577327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORG RICHARD LARGENT Staff Pharmaicst 770-509-5629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: GA 021043) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |