| NPI | 1295147346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM MCLEOD Owner 601-362-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MS 04095/1.1) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-28 |