| NPI | 1568669208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE JACKSON Vice President 228-832-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MS 02264011) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-04-11 |