| NPI | 1316278062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TRUMAN STOKES CEO 662-332-5656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 08057 / 11.1) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MS 09094/2.6) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2024-03-26 |