NPI | 1518086339 |
---|---|
Entity Type | Organization |
Authorized Contact | MERRI SANDERSON Owner 662-597-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 08376/02.0) |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2013-08-28 |