| NPI | 1164268686 |
|---|---|
| Doing Business As | MAGIC MART PHARMACY, DS |
| Entity Type | Organization |
| Authorized Contact | GUY M PHILLIPS President 662-887-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |