| NPI | 1043510381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE RESPESS President 662-809-2727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MS 08701/2.0) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |