License Number
010728961
County ID
61
Email
PO BOX 208
Owner Name
FARID FAIZAN LLC
Owner ID
104983
Vendor Name
MDS 1
Vendor ID
107289
Address
17684 HWY 21
SYCAMORE, AL 35149
United States
License Type 1
050
License Type 2
070
License Type 3
990