| NPI | 1518014356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA CHARLES JONES Pharmacist Vice President 662-453-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00316 01.1) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |