| NPI | 1407892953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE GERRARD Owner 662-326-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MS 00217011) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-09-11 |