NPI | 1700141645 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN P BRINGLE Owner 662-563-7651 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00487) |
Enumeration Date | 2012-07-06 |
Last Update Date | 2012-07-06 |