| NPI | 1649304023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R BULLOCK Owner 601-437-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 01134 01.1) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2015-06-11 |