| NPI | 1922019421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L ANTHONY President 601-981-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH21965) | |
| 333600000X Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-05-20 |