| NPI | 1700419454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANUARY MILLER Vice President, January Green 334-819-4511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2024-06-13 |