| NPI | 1700962115 |
|---|---|
| Doing Business As | HIGHWAY 69 SOUTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH GILLIS Owner 662-327-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 111585) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2025-06-10 |