| NPI | 1922410190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN JEFFERY BAILEY Supervising Pharmacist 334-582-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2022-03-17 |