| NPI | 1588793228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY RIMES Owner 601-783-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 00146011) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-12-21 |