| NPI | 1699317917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATLYN SPRADLING Pharmacist/Owner 662-322-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |