| NPI | 1992518484 |
|---|---|
| Doing Business As | MEDICINE SHOPPE 1517 |
| Entity Type | Organization |
| Authorized Contact | TRACY EDEN Owner 404-459-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-04-23 |