| NPI | 1104827542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BB S SAUNDERS Ins/Ofc Mgr 334-585-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL 607) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 111528) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2013-08-06 |