| NPI | 1902245020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ASKIA BLAKEMORE Pharmacy Manager 205-983-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114154) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2023-01-13 |