| NPI | 1013016070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY FOX SKELTON Vice President 601-939-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 5202-IR) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 5202-IR) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: LA 5202-IR) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-08-25 |