| NPI | 1073696365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R COX Vice President 601-664-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: AL 112737) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-02-25 |