| 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 | 251E00000X Home Health (Licence: AL 101599) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 101599) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: AL 101599) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: AL 101599) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: AL 101599) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: AL 101599) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-06-04 |