| NPI | 1295578250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ANDREW MYERS Owner/Pharmacist In Charge 662-638-6382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-24 |