| NPI | 1669556700 |
|---|---|
| Doing Business As | FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIM STAMPS Pharmacist In Charge/ Owner 601-684-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 02430/1.1) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-12-18 |