| NPI | 1427489517 |
|---|---|
| Doing Business As | LIFECORE PHARMACY TUPELO |
| Entity Type | Organization |
| Authorized Contact | VAN WATSON Director Of Pharmacy 662-912-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 12959/5.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2017-04-19 |