| NPI | 1154555720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRION BOWMAN COO 205-608-4995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NV PH02514) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |