| NPI | 1255982567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY ANTHONY SHELBY Owner 256-503-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |