NPI | 1891534400 |
---|---|
Entity Type | Organization |
Authorized Contact | HIBA TAKI Manager 770-274-6655 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
Enumeration Date | 2024-05-22 |
Last Update Date | 2025-08-11 |