| NPI | 1861557639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM SHORT President 770-889-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006999) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2013-05-31 |