| NPI | 1770655433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY GLEN KLEPZIG Owner Pharmacist 662-234-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 0566901.1) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |