| NPI | 1497897714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WHITE Pharmacist 662-728-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 0018901.1) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-08-01 |