NPI | 1578603015 |
---|---|
Doing Business As | WALNUT SQUARE PHARMACY |
Entity Type | Organization |
Authorized Contact | STEPHEN WORREL CFO 601-583-3232 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 05515011) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-02-07 |
Last Update Date | 2007-09-12 |