| NPI | 1245781061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHELIA BALAMS EZE Owner/Pharmacist 662-323-5033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE010285) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |