| NPI | 1033103817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA CHAMBERS Pharmacist 256-845-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: AL 102020) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2021-01-08 |