| NPI | 1689898579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE MAULDIN Owner Pharmacist 601-428-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 01527) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |