| NPI | 1639009301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS W DAWSON Owner/Pharmacist 662-491-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2026-05-22 |
| Last Update Date | 2026-05-22 |