| NPI | 1356153688 |
|---|---|
| Doing Business As | ROLLING FORK DRUG COMPANY LTC |
| Entity Type | Organization |
| Authorized Contact | GUY M PHILLIPS President/Owner 662-887-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |