| NPI | 1205840626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY JOE REID Registered Pharmacist 205-647-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 6376) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 109970) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |