| NPI | 1013631654 |
|---|---|
| Doing Business As | OLE TOWNE FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD ANDREW MOFFETT Owner/PIC 601-693-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |