| NPI | 1215098033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH FLOYD Pharmacist In Charge 334-836-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 112613) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-08-28 |