| NPI | 1154615128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANUARY MILLER Chro 334-819-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2025-05-15 |