| NPI | 1043687882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN DAVIS Co Owner 601-703-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2018-11-08 |