| NPI | 1023145935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM GIBBS Supervising Pharmacist 334-872-3255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 1157910001) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-04-29 |