| NPI | 1699877191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER HAILEY Owner 601-366-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00708) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2020-08-22 |