NPI | 1194005918 |
---|---|
Doing Business As | WETUMPKA PHARMACY, LLC |
Entity Type | Organization |
Authorized Contact | JUAN LATORRE Owner 334-567-5442 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113792) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2011-08-24 |
Last Update Date | 2020-07-02 |