NPI | 1275867376 |
---|---|
Doing Business As | BUBBA'S MEDICINE SHOP |
Entity Type | Organization |
Authorized Contact | JEFFREY D JERKINS CEO 334-749-3426 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 101890) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2009-09-23 |