NPI | 1033744230 |
---|---|
Doing Business As | GROVE HARBOR MEDICAL CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | SEID AMIR FARZAN TAVAKKOLI ISFAHANI President 256-797-2552 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2020-03-08 |
Last Update Date | 2023-12-08 |