| NPI | 1790820645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL FRANCIS SYLVEST Pharmacist 601-450-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 05885) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |