| NPI | 1386729317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENE' LANDRUM Manager 662-327-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MS 01383/1.1) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-12-22 |