| NPI | 1700965845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCKINNEY Owner And President 228-475-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MS 007741011) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 00774/01.1) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MS 00774/01.1) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MS 00774/01.1) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: MS 077440/01.1) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: MS 00774/01.1) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: MS 00774/01.1) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-07-18 |