| NPI | 1225578883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENTON WEBB Pharmacist 228-437-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AL 19699) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |