| NPI | 1669698213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE L BELL Owner 662-653-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 03564) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |