| NPI | 1881165827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUSSELL LOVE Pharmacist/Owner 228-818-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-07-18 |