| NPI | 1225492721 |
|---|---|
| Doing Business As | FAMILY PHARMACY AT ALLEGRO PLAZA |
| Entity Type | Organization |
| Authorized Contact | JOE GILLIS President 662-327-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 14790/1.2) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-05-23 |