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 |