| NPI | 1922087493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. PHILLIP CARSON President 662-651-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MS CS-04541/01.1) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MS 04541/01.1) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2020-08-22 |