| NPI | 1174871057 |
|---|---|
| Doing Business As | DEEP DELTA DRUGS |
| Entity Type | Organization |
| Authorized Contact | CHARLIE DARDEN Owner 662-873-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 11482) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2016-05-09 |