| NPI | 1720368541 |
|---|---|
| Doing Business As | MAGNOLIA SPECIALTY PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | DAVID PARKER President/Owner 601-606-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 09087) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2017-04-11 |