| NPI | 1326064130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WHITE Owner 601-847-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00554) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-01-30 |