| NPI | 1821000548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE FELIX BAUER President Owner 251-471-5326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 101410) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |