| NPI | 1659369825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MAIN Pharmacy Manager 334-738-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 106460) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-02-04 |