| NPI | 1265410088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT MCLEMORE Director Of Pharmacy 256-566-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 112104) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-08-03 |