| NPI | 1215019443 |
|---|---|
| Doing Business As | FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICKY RILEY Manager 662-329-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 02352/01.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2017-02-20 |