| NPI | 1972886406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CHARLENE HAIRSTON Pharmacy Manager 404-284-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH019787) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |