NPI | 1184755399 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE STEINWINDER Pharmacist In Charge 662-320-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MS E8018) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2020-08-22 |