| NPI | 1619000593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SWOOPES Administrator 662-779-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MS 03665) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-12-13 |