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 |