| NPI | 1932385440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOGACHEU VP 404-933-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MA 3569) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2013-01-31 |