| NPI | 1780192690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W GRIFFITH Executive Director 601-974-5578 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2021-11-09 |