| NPI | 1740594704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BROWN Pharmacist 662-822-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 08559/01.1) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2013-07-03 |