| NPI | 1558517508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHANDLER Director Of Operations 251-478-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 192883) |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2010-04-19 |