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 |