| NPI | 1518045533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN A THOMPSON Director Of Pharmacy 205-918-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 170009) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: AL 170009) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |