| NPI | 1669110722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEYED AMINODDIN MIRRAMEZANI Chief Operating Officer 256-466-0484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |