| NPI | 1396874178 |
|---|---|
| Doing Business As | WALLACE DISCOUNT DRUGS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROBERTSON Owner/PIC 601-428-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 0162611) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-01-20 |