| NPI | 1003979386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL THADDEUS SCOTT CFO 601-200-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MS 0101003.1) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-05-13 |