| NPI | 1346039468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANUARY MILLER Chro 334-819-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-06-03 |