| NPI | 1508303041 |
|---|---|
| Doing Business As | COOK & FORTENBERRY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KAYLA JORDAN Pharmacist/Owner 601-736-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |