NPI | 1912921529 |
---|---|
Doing Business As | CONCORD PHARMACY |
Entity Type | Organization |
Authorized Contact | WILLIE D SMITH Owner 678-463-9598 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE008760) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-04-11 |