| NPI | 1194850917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC PITTMAN Director Of Pharmacy 662-690-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MS 04542) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |