| NPI | 1720218506 |
|---|---|
| Doing Business As | TARA PHARMACY SE LLC |
| Entity Type | Organization |
| Authorized Contact | JAMES R. COX Vice President 601-664-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054.018470) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MO 2009019258) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2022-02-25 |