| NPI | 1154354314 |
|---|---|
| Doing Business As | SULLIVAN'S DISCOUNT DRUGS |
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES HUDSON Pharmacist 662-289-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MS 00233) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MS 00233) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2021-08-18 |