NPI | 1942335609 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM N BISHOP Owner President 256-878-5953 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 101599) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: AL 101599) |
3336C0004X Pharmacy, Compounding Pharmacy (Licence: AL 101599) | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 101599) | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: AL 101599) | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AL 101599) | |
251E00000X Home Health (Licence: AL 101599) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2010-06-04 |