| NPI | 1265921613 |
|---|---|
| Doing Business As | BAZE PHARMACY DSMT |
| Entity Type | Organization |
| Authorized Contact | ATHELIA BALAMS EZE Owner 662-323-5033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |