| NPI | 1649720202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HAWK SINDEL Chief Executive Officer 251-433-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2023-06-13 |