| NPI | 1134695323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWM DOZIER Owner/Pharmacist 601-825-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |