| NPI | 1609981331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY CASH Pharmacist Owner 662-226-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 0680320) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |