| NPI | 1861416562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY GARDNER Director, Pharmacy 404-851-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE08919) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-01-20 |