| NPI | 1932197415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DANE YARBROUGH President 334-396-9466 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 111630) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AL 111) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-12-10 |