NPI | 1184813396 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY WILLIAMSON Owner 334-875-7223 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: AL 113034) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2007-12-07 |