| NPI | 1881884161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE D. CANNON President 256-233-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 112977) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-03-23 |