| NPI | 1346743085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY MAYFIELD Owner 256-412-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 106610) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-06-05 |