| 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 |