| NPI | 1447393418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN ANDERSON Secretary 601-794-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 0225601.1) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |