| NPI | 1275511362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN CANNON WEST Supervising Pharmacist Owner 334-699-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 112724) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 112724) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-22 |