| NPI | 1205971504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY KEITH MANLEY President 205-459-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 107036) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 107036) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |