| NPI | 1457706129 |
|---|---|
| Other Name | MAGNUM RX |
| Entity Type | Organization |
| Authorized Contact | TAMMY NERON Administration 228-363-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |