| 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 |