| NPI | 1962402693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LELUS WELDON Vice President 205-491-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 110000) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AL 110000) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2008-05-08 |