| NPI | 1174648422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BUSBY Owner 601-947-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 01518) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-03-07 |