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 |