| NPI | 1588062004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HANEY Supervisor Pharmacist 256-999-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 114439) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |