| NPI | 1285702084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT R. TAFT Owner 205-218-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH12052) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2024-10-11 |