| NPI | 1851342984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CLIFFORD CROSS Authorized Official 770-803-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE007863) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2021-08-24 |