| NPI | 1083657381 |
|---|---|
| Doing Business As | SOUTH CENTRAL OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN EAST CFO 601-399-6144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-06-24 |