| NPI | 1598750135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI S. VEAZEY Pharmacy Director 601-351-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MS 01000) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 283Q00000X Psychiatric Hospital (Licence: MS 01000/03.1) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MS 01000) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2018-06-13 |