| NPI | 1215032420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R RATCLIFF Pharmacist In Charge 601-545-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS e08925) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-03-25 |