| NPI | 1922630797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL M. SUDDUTH Pharmacist/Owner 662-429-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |