| NPI | 1174693105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN CRAIG SARTIN President 228-474-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MS 05113021) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 05113021) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 05113021) | |
| 333600000X Pharmacy (Licence: MS 05113021) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 05113021) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: MS 05113021) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MS 05113021) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-12-12 |