| NPI | 1972696342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TOW Director Of Pharmacy 205-912-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TN 0000002158) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |