| NPI | 1669481875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STEPHEN BARNETT Owner Pharmacist 662-423-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 05564011) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-04-06 |