| NPI | 1861564486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY CALVERT Pres 601-355-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 06747) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-20 |