NPI | 1124618525 |
---|---|
Entity Type | Organization |
Authorized Contact | MARILYN SUMERFORD Executive Director 662-651-4686 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2021-01-20 |
Last Update Date | 2023-10-26 |