| NPI | 1073063327 |
|---|---|
| Doing Business As | MEMORIAL OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER DUMAL COO 228-865-3542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 14971) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2019-12-17 |