NPI | 1700122033 |
---|---|
Doing Business As | COLBERT PHARMACY |
Entity Type | Organization |
Authorized Contact | KYLE MYHAN Owner 256-389-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AL 114017) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2013-05-03 |