NPI | 1104273002 |
---|---|
Doing Business As | BRYAN PHARMACY INC SOUTHSIDE |
Entity Type | Organization |
Authorized Contact | HUBERT BRYAN Owner 334-347-5111 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 114626) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-05-20 |
Last Update Date | 2016-08-02 |