| NPI | 1093562167 |
|---|---|
| Other Name | UMMC COLONY PARK RETAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GRIMSLEY Assistant CFO 601-815-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |