| NPI | 1760715841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL MIMS CFO & Senior VP Of Operations 334-356-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: NC 10355) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2010-06-18 |