| NPI | 1093927675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI COX Paralegal 205-536-8493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 113161) |
| Additional Taxonomies | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| 261QH0100X Clinic/Center Health Service | |
| 261QP2400X Clinic/Center Prison Health | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-06-10 |