| NPI | 1760604912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON KING President 256-574-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: AL 190070) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-05-03 |