| NPI | 1609164847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY DAWN RANDOLPH Pharmacist 205-926-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 14834) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 12924) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |