| NPI | 1154402832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA T HARPER Credentialling Coordinator 256-547-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 0133114) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-04-20 |