| NPI | 1104998269 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY SERVICES OF JACKSON |
| Entity Type | Organization |
| Authorized Contact | RONNIE BAGWELL President 601-932-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MS 0218002.0) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |