| 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 |