NPI | 1760757082 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JASON RUTLAND President 601-218-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH26011) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2012-03-20 |