| NPI | 1922027622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L. FAILLA President 601-798-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00937/01.1) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-10-24 |