| NPI | 1497872782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST KOCHEM Owner 205-663-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 111874) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-11-14 |