| NPI | 1760902555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DIANNE CUMMINS Owner/Pharmacist 662-563-9262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MS 02162) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-02-22 |