| NPI | 1578667002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L TYNER President 205-856-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 10247) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 109833) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |