NPI | 1720084148 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES S STEWART Owner 601-794-6701 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MS 00917) |
333600000X Pharmacy (Licence: MS 00917) | |
Enumeration Date | 2005-06-21 |
Last Update Date | 2022-03-04 |