| NPI | 1851732267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK DEWAYNE WATTS Manager 256-399-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114165) |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2013-07-13 |