| NPI | 1215690284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS WARE Chief Operations Officer 662-712-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2022-10-25 |