| NPI | 1336239854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C KELLY Owner/Pharmacist 601-765-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 00551011) |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-01-23 |