| NPI | 1750914545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN DAVIS President 205-632-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |