| NPI | 1598872863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW W WILLIAMS Pharmacist 662-494-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00848/01.1) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 00848/01.1MS) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-01-17 |