| NPI | 1386973956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE SLEEPER Owner 662-286-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MS 08338/02.5) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |