| NPI | 1275647232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MCNAMARA President 601-933-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MS 05677025) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |