| NPI | 1477692184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS EDWARD MILLER Owner 334-745-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 107320) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-03-29 |