| NPI | 1417794918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CLARK Pharmacist And Owner 601-665-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |