NPI | 1043366800 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON L. RAINS Owner 256-623-2944 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 104223) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2008-04-28 |