| NPI | 1912060740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAN SHIPMAN HANCOCK Director Of Operations 256-997-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 111213) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: AL 111213) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-09-10 |