| NPI | 1619045382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WAYNE OWNES R Ph Owner 205-621-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 1000063063) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 22271) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-05-24 |