| NPI | 1679651186 |
|---|---|
| Doing Business As | BOONEVILLE COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TONY SMITH Owner 662-728-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 04785011) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-05-23 |