| NPI | 1902976665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JACKIE THOMPSON Owner Pharmacist 601-894-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MS 00602011) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-04-08 |