| NPI | 1639124183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EVANS BLALOCK President/Pharmacist 601-657-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS T08879) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-12-07 |