| NPI | 1023549060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MEDINA Director Of Pharmacy 601-936-7845 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MS 05066/3.1) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2019-03-11 |