| NPI | 1932296183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DON STEPHENS C.O.O. 205-981-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: AL 111215) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-08-08 |