| NPI | 1750783874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUCKER LEE MALONE Pharmacist/Owner 334-444-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 114415) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |