| NPI | 1376606582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA WOODS Pharmacist 601-713-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MS 01085 05.1) |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MS 0108505.1) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-10-22 |