| NPI | 1851399596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUBERT RAY BRYAN President 334-347-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 112343) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-05-02 |