NPI | 1205080975 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE MAINELLI Pharmacy Manager 662-294-1111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: MS 07944/02.0) |
Enumeration Date | 2008-11-07 |
Last Update Date | 2008-11-07 |