| NPI | 1619826039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK EUGENE CHANDLER Manager 332-232-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-03-25 |