| NPI | 1518558600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE LACEY NASH Director Of Clinical Services 334-466-3057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |