| NPI | 1851471155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN CAREY JONES Presidental Pharmacist 662-624-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 02059/01.1) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |