| NPI | 1336127158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARDEN F HERITAGE President 256-534-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 111666) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 111666) |
| 333600000X Pharmacy (Licence: AL 111666) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AL 111666) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: AL 111666) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-08-03 |