| NPI | 1275109027 |
|---|---|
| Doing Business As | DELTA HEALTH-NORTHWEST REGIONAL (SPECIALTY PHARMACY) |
| Entity Type | Organization |
| Authorized Contact | IRIS STACKER CEO 662-725-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-11-14 |