| NPI | 1861123580 |
|---|---|
| Doing Business As | MARIETTA SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HAMZA TANVEER Manager 404-721-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-07-27 |