| NPI | 1497809156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN F BURNS President 662-423-3628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00207) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-03-20 |