| NPI | 1861727588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY EVERETT Pharmacist In Charge 601-863-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MS 08271/2.0) |
| Additional Taxonomies | 251F00000X Home Infusion |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2021-04-28 |