| NPI | 1497852602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK W QUINN Rph 662-286-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 0313501.1) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-09-01 |