| NPI | 1932612991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIAN AGBONJIAZOE Owner 678-519-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA phre010397) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2019-12-05 |