| NPI | 1598019804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERTS Owner 205-823-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AL 113993) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |