NPI | 1952312597 |
---|---|
Entity Type | Organization |
Authorized Contact | LAN VO Partner 404-664-8659 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009039) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2008-03-12 |