| NPI | 1730610775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRENCHIE COTTON RUSSELL Pharmacist In Charge 601-937-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |