| NPI | 1679985378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CALEB WILLIAMSON Owner/Pharmacist 601-765-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 13446) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-10-01 |