| NPI | 1982765673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TIMOTHY OLIVER President 770-834-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA 004556) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-03-07 |