| NPI | 1881287571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANUARY GEEEN VP, Hr 334-819-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-04-01 |