NPI | 1366583205 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL TODD COSPELICH Pharmacist Manager 662-628-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MS E7662) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2013-01-24 |