NPI | 1689808917 |
---|---|
Doing Business As | FORT WILLIAMS PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | CHAD LIGHTSEY Owner 256-404-6165 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113273) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2009-05-14 |
Last Update Date | 2017-02-16 |