| NPI | 1982379749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUYNH VAN DAO CEO 770-330-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |