| NPI | 1063413086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE MCKISSICK ADAMS President 334-745-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 110503) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 110503) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2019-11-08 |