| NPI | 1043434939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MCCHESNEY PEARSON Director Of Pharmacy 601-713-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MS 01085 05.1) |
| 3336M0002X Pharmacy Mail Order Pharmacy (Licence: MS 0108505.1) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2019-01-15 |