| NPI | 1073567111 |
|---|---|
| Doing Business As | ANTHONY J KALLIATH MD |
| Entity Type | Organization |
| Authorized Contact | ANTHONY J KALLIATH Owner 256-760-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: AL AL14483) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2010-12-09 |