| NPI | 1912478421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANNE FAIR PENDER JONES Owner/Pharmacist 662-226-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2018-12-09 |