NPI | 1497497960 |
---|---|
Doing Business As | DOWNHOME PHARMACY BROOKHAVEN |
Entity Type | Organization |
Authorized Contact | JAMES EARL CRANE President/Owner/Rph 601-967-8411 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-04-13 |
Last Update Date | 2022-07-26 |