| NPI | 1952638579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL L. PRUITT Chairman & CEO Of Mgr 770-279-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: GA PHRE009656) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE009656) | |
| 3336I0012X Pharmacy Institutional Pharmacy (Licence: GA PHRE009656) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2025-09-02 |