| NPI | 1447672126 |
|---|---|
| Doing Business As | 15TH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KATHY BAIRD Executive Asst. 662-327-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114281) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2018-06-26 |