| NPI | 1598816589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DEVER Pharmacy Director 601-544-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MS 06174023) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-12-13 |