| NPI | 1093701526 |
|---|---|
| Doing Business As | CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JULIA C TENNIN Owner/Pharmacist 601-407-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E7245) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |