| 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 |