| NPI | 1366517690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P ELCOTT President 205-824-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AL 06010518) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |