| NPI | 1912049073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL M SUDDUTH President 662-429-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 06916) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-03-24 |