NPI | 1508936683 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY CALVERT President 601-366-1012 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: MS 00743011) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2007-12-14 |