| NPI | 1366556326 |
|---|---|
| Doing Business As | GPRX |
| Entity Type | Organization |
| Authorized Contact | BRINSON PORK Owner 601-849-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MS 05213/2.6) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2014-02-27 |