| NPI | 1396785143 |
|---|---|
| Doing Business As | MONTGOMERY PRIMERY CARE |
| Entity Type | Organization |
| Authorized Contact | R ALLEN MCDANIEL Phcy Director 334-263-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: AL 110355) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-01-18 |