| NPI | 1629192661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALEXANDER ROGERS Pharmacist & Owner 662-234-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E06127) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 01126) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-07-22 |