| NPI | 1851420632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CARR Owner 770-938-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA 4779) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-09-12 |