| NPI | 1578857108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CLINT GENTRY Owner/Manager 205-970-1983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 113729) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2021-08-19 |