| NPI | 1992184022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK TRINCA President 662-820-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 09771) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |