| NPI | 1295013530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL L MIMS Director Of Operations 334-356-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 09098) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-05 |