| NPI | 1053927053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA JANE WHITE Pharm D/Secretary 601-928-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-18 |