| NPI | 1316983869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN HAMILTON President 662-320-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 251F00000X Home Infusion |
| 333600000X Pharmacy (Licence: MS 0463302DT) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-09-11 |