| NPI | 1255433975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON B WHITE President 662-728-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00189/01.1) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2016-07-29 |