| NPI | 1518040500 |
|---|---|
| Doing Business As | REGION IV MH MR COMMISSION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLIE SPEARMAN Executive Director 662-286-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 06596/1.1) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-08-30 |