NPI | 1114929296 |
---|---|
Doing Business As | OLE TOWNE FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | RICHARD ANDREW MOFFETT Pharmacist In Charge/Owner 601-693-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 03424-01MM) |
Enumeration Date | 2005-06-02 |
Last Update Date | 2022-04-27 |