| NPI | 1912724634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANUARY GREEN Chro 334-819-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2026-08-31 |