NPI | 1114191459 |
---|---|
Doing Business As | FAYETTE PHARMACY |
Entity Type | Organization |
Authorized Contact | SUMMER WILSON Phrmd 205-712-1685 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113087) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2011-07-26 |