| NPI | 1043304033 |
|---|---|
| Doing Business As | MEDI MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CLARENCE E. DUBOSE President 228-474-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MS 01148/01.1) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |