| NPI | 1760880637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H LOMENICK President 662-252-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MS F0500) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2015-01-07 |