| NPI | 1669631198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WHEAT Acting Director Of Financial Operat 334-206-5364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: AL 110781) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: AL 02553) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-12-10 |