| NPI | 1407189350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL MIMS Cof & Senior VP Of Operations 334-356-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: SC 10552) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |