| NPI | 1154170637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE BRANCH WARRINGTON Owner 662-299-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2026-03-16 |