| NPI | 1104962695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAH BROWN Owner/Member 256-734-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 105290) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-08-14 |