| NPI | 1902968100 |
|---|---|
| Doing Business As | JOE'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES J MRACEK Pharmacist Owner 334-567-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 6961) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 105635) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-07-16 |