| NPI | 1386912483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH FLYNT Manager 228-207-0505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MS F09743) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2013-10-21 |