| NPI | 1407861016 |
|---|---|
| Doing Business As | OWL DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | DIANE ASHLEY Phcy Dir 601-268-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 01821/1.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2017-02-21 |