NPI | 1841294469 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM RUSSELL LOVE Vice President 228-466-9333 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 03757011) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2011-03-16 |