| NPI | 1184764193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MCMELLON Pharmacist, President 228-588-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 00440559) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |