| NPI | 1023031713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L FAILLA Owner/President 601-798-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00558/01.1) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-05-01 |