| 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 |