| NPI | 1952736514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH LIVINUS U. LIVINUS Pharmacist 404-246-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2021-06-01 |