| NPI | 1760424659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BAIN Owner/Phara MIS T 662-844-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MS 2101-1513-3453-350) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |