| NPI | 1760547301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FREEMAN Owner/Pharmacist 334-727-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 12782) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 12782) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2014-11-04 |