| NPI | 1184833741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE BORROUM MITCHELL Partner 662-286-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 0020201.1) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |