NPI | 1295268985 |
---|---|
Doing Business As | SOUTHERN PHARMACY RX |
Entity Type | Organization |
Authorized Contact | TAMMY NERON Partner CEO 228-363-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2017-04-10 |
Last Update Date | 2017-04-10 |