NPI | 1538385018 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES RAYMOND AVRITT President 662-843-7007 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MS 0598902.0) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |