| NPI | 1417983966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA DYESS Owner 334-684-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 14153) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 111831) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |