| NPI | 1548285505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W PICKLE President 662-289-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00214/01.1) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |