| NPI | 1194452656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W TOLE Owner / Physician 334-521-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |