| NPI | 1487751228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMIE BOACKLE Mngr/Phcy Div 205-975-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: AL 160010) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-07-19 |