| NPI | 1164966859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WHITAKER Pharmacist 334-456-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114682) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2017-03-08 |