| NPI | 1558372193 |
|---|---|
| Doing Business As | DIAMOND GROVE CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATRICK SWOOPES CEO 662-779-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MS 03665) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-07-15 |