NPI | 1518997410 |
---|---|
Doing Business As | POLK'S DISCOUNT DRUGS #5 |
Entity Type | Organization |
Authorized Contact | RONALD SKELTON Manager 601-932-8609 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS F02384) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-04 |
Last Update Date | 2017-03-13 |