NPI | 1063594844 |
---|---|
Doing Business As | MARTIN COLLEY DRUGS BYPASS |
Entity Type | Organization |
Authorized Contact | PAUL RUSSELL Owner 334-348-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 111903) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0004X Pharmacy, Compounding Pharmacy | |
333600000X Pharmacy | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2011-12-07 |