| NPI | 1730903113 |
|---|---|
| Doing Business As | SOUTHERN SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHARON MARIE PENNINGTON Chief Executive Officer 601-985-8296 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |