| 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 |