| NPI | 1023031713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE HOLDEN President 601-795-4239 |
| 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 | 2018-08-03 |