| NPI | 1841295391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B. LEE ATKINS President 601-957-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 05207 / 02.0) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2022-10-28 |