| NPI | 1043861768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOHN WHITE Owner/Pharmacist 662-380-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2022-11-22 |