| NPI | 1477968980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C. PIERCE PIC 601-450-0294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: MS 13438/2.2) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: MS 13438/2.2) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |