| NPI | 1245781046 |
|---|---|
| Doing Business As | CRESTWOOD PHARMACY AND SODA FOUNTAIN |
| Entity Type | Organization |
| Authorized Contact | RANDALL TAYLOR TRAMMELL Pharmacist In Charge 205-910-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2022-04-04 |