| NPI | 1760662290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ROBINSON Owner 662-252-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00994/01.1) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2008-07-01 |