| NPI | 1669809976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK T SANSOM Owner 256-851-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114210) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2014-01-03 |