| NPI | 1902464571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LAMB Compliance Officer 770-474-7693 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |