| NPI | 1649209305 |
|---|---|
| Doing Business As | QUINN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES L. HICKS, III Pharmacy Manager 601-428-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MS 01101/01.1) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 01101/01.1) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MS 1101/01) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MS 01101/01) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2016-08-16 |