| NPI | 1003821612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SOUTH Manager 205-494-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 109667) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2015-12-10 |