| NPI | 1053526368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DEREK MILLER CFO 334-793-8701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 113196) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 150080) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-09-25 |