| NPI | 1497003396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PAUL HEIRONIMUS Pharmacist In Charge 256-565-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 13805) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2013-08-21 |