| NPI | 1023220944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KELLY President 601-946-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MS 06864026) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-03-25 |